AUTUMN LEAVES OF TULSA
NPI 1174896310
Assisted Living Facility in Tulsa, OK

NPI Status: Active since February 20, 2012

Contact Information

7807 S MINGO RD
TULSA, OK
ZIP 74133
Phone: (918) 249-1300
Fax: (918) 249-1301

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  • Organization
  • Assisted Living Facility

About AUTUMN LEAVES OF TULSA

This page provides the complete NPI Profile along with additional information for Autumn Leaves Of Tulsa, a provider established in Tulsa, Oklahoma operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1174896310 assigned on February 2012. The practitioner's primary taxonomy code is 310400000X with license number AL7238 (OK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Autumn Leaves Of Tulsa. The authorized official of this NPI record is Mr. Chad Anderson (President)

NPI
1174896310
Provider Legal Name
TULSA MEMORY CARE, LLC
Other Organization Name
AUTUMN LEAVES OF TULSA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7807 S MINGO RD TULSA, OK 74133
Location Phone
(918) 249-1300
Location Fax
(918) 249-1301
Mailing Address
545 E JOHN CARPENTER FWY SUITE 500 IRVING, TX 75062
Mailing Phone
(214) 845-4500
Mailing Fax
(918) 249-1301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2012
Last Update Date
02-20-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL7238
License State
OK
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHAD ANDERSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(214) 845-4500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174896310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441691232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 9 + 1 + 2 + 3 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1174896310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174896310, enumerated in the NPI registry as an "organization" on February 20, 2012

The provider is located at 7807 S Mingo Rd Tulsa, Ok 74133 and the phone number is (918) 249-1300

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on February 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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