ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC – NPI #1770788630
Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Health Care Provider Taxonomy Code for Point of Service

ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC is a managed care organization located in CLINTON, OK. NPPES has assigned the NPI number 1770788630 to ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC on June 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

The NPI profile was previously updated about 18 years ago on May 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC below.

NPI Profile for
ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC

NPI Number
1770788630
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANGELWOOD ASSISTED LIVING & MEMORY CARE, LLC
Primary location
3200 HAYES AVE
CLINTON, OK 73601-3514
Phone: (580) 323-0990 Fax: (580) 323-0999
Mailing address
78 CENTENNIAL LOOP
EUGENE, OR 97401-7900
Phone: (541) 747-3373 Fax: (541) 747-0673
Organization Subpart
No
Authorized Official
JOHN HOLTZ
CONTROLLER
Phone: (541) 747-3373
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305S00000X
- Point of Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.