MEDICARE: BELLECARE INC.

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
1	314000000X	Skilled Nursing Facility	NH5524	OK

General Provider Information

NPI Number	:	1124156153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLECARE INC.

Provider Business Mailing Address
First Line	:	2801 NW 61ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-7007
Country	:	US
Telephone Number	:	405-842-6601
Fax Number	:	405-810-8482

Provider Business Practice Location Address
First Line	:	2801 NW 61ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-7007
Country	:	US
Telephone Number	:	405-842-6601
Fax Number	:	405-810-8482

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID THOMPSON
Credential	:
Telephone Number	:	405-879-0102

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	08/22/2020

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