Healthcare Provider Details

I. General information

NPI: 1700821493
Provider Name (Legal Business Name): TRINITY WOODS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4134 E 31ST ST
TULSA OK
74135-1511
US

IV. Provider business mailing address

4134 E 31ST ST
TULSA OK
74135-1511
US

V. Phone/Fax

Practice location:
  • Phone: 918-743-2565
  • Fax: 918-743-1174
Mailing address:
  • Phone: 918-743-2565
  • Fax: 918-743-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH72187218
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH7218-7218
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL7226-7226
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH7218-7218
License Number StateOK

VIII. Authorized Official

Name: EMILIE CRESWELL
Title or Position: VP OF HEALTH SERVICES
Credential:
Phone: 918-346-6625