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NPI Code Detail

MEDICARE: RECEIVER CARE LLC

MEDICARE: RECEIVER CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH5549OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518262401
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECEIVER CARE LLC
Provider Business Mailing Address
First Line : 119 N ROBINSON AVE STE 400
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-4613
Country : US
Telephone Number : 405-272-0511
Fax Number :
Provider Business Practice Location Address
First Line : 1530 NE GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-5212
Country : US
Telephone Number : 405-424-2273
Fax Number : 405-424-2070
Authorized Official
Title or Position : RECEIVER
Name : MR. DAVID R. PAYNE
Credential :
Telephone Number : 405-272-0511
Provider Enumeration Date : 01/24/2011
Last Update Date : 05/13/2011

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Directions to “RECEIVER CARE LLC ” Practice Location

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