Provider Type Icon

BROADMOOR HEALTH CARE LLC NPI 1710391586


NPI Information

NPI: 1710391586
Provider Name: BROADMOOR HEALTH CARE, LLC

Doing Business As: BROADMOOR RETIREMENT COMMUNITY

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
8205 E 22ND ST
TULSA, OK
ZIP 74129
Phone: (918) 622-2151
Get Directions

BROADMOOR HEALTH CARE, LLC is a custodial care facility in Tulsa, OK. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. BROADMOOR HEALTH CARE, LLC NPI is 1710391586. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadmoor Retirement Community.

The provider's business location address is:

8205 E 22ND ST
TULSA, OK
ZIP 74129-839
Phone: (918) 622-2151
Fax: (918) 622-2233

The provider's authorized official is Judah Bienstock .
The authorized official title is Managing Member and has the following contact phone number (314) 631-3000.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 12/2/2015.


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
1311Z00000XCustodial Care FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.