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GOLDEN OAKS VILLAGE OF STILLWATER L.L.C. NPI 1679797419


NPI Information

NPI: 1679797419
Provider Name: GOLDEN OAKS VILLAGE OF STILLWATER, L.L.C.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 37D1060397

Address:
5505 W 19TH AVE
STILLWATER, OK
ZIP 74074
Phone: (405) 377-1114
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GOLDEN OAKS VILLAGE OF STILLWATER, L.L.C. is an assisted living facility in Stillwater, OK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDEN OAKS VILLAGE OF STILLWATER, L.L.C. NPI is 1679797419. The provider is registered as an organization entity type.

The provider's business location address is:

5505 W 19TH AVE
STILLWATER, OK
ZIP 74074-323
Phone: (405) 377-1114
Fax: (405) 377-9214

The provider's authorized official is Tandie Hastings .
The authorized official title is President and has the following contact phone number (405) 282-6285.

The CLIA number assigned to this NPI record is 37D1060397 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL6003OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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