Organization · Type 2 NPI

Central Oklahoma United Methodist Retirement Facility Inc

Nursing Facility/Intermediate Care Facility · Oklahoma City, OK

NPI number 1114922598 Active

Practice location

14901 N Pennsylvania Ave
Oklahoma City, OK 73134

Fax (405) 755-5106

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	CC5504 (OK)
Skilled Nursing Facility	314000000X	CC5504 (OK)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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NPI record

NPI: 1114922598
Entity type: Organization (Type 2)
Issued: Jun 14, 2005
Last updated: Jul 8, 2019
Status: Active
Subpart: Yes of Epworth Living

Other names

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Epworth Villa · doing business as
Epworth Villa · doing business as

Authorized official

Kenneth Lee Bullock
CFO
(405) 749-3516

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114922598

Central Oklahoma United Methodist Retirement Facility Inc's National Provider Identifier is 1114922598, issued on Jun 14, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2019.