TEAL CREEK ASSISTED LIVING – NPI #1396279808
Assisted Living Facility

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.

TEAL CREEK ASSISTED LIVING is an assisted living facility located in EDMOND, OK. NPPES has assigned the NPI number 1396279808 to TEAL CREEK ASSISTED LIVING on April 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TEAL CREEK ASSISTED LIVING” is a dba name, the actual legal business name for this organization is TEAL CREEK LIFE CARE COMMUNITY INC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

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 TEAL CREEK ASSISTED LIVING below.

NPI Profile for
TEAL CREEK LIFE CARE COMMUNITY INC

NPI Number
1396279808
Enumeration Date

(more than 9 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
TEAL CREEK LIFE CARE COMMUNITY INC
Doing Business As (dba): TEAL CREEK ASSISTED LIVING
Primary location
13501 N. BRYANT AVE.
EDMOND, OK 73013
Phone: (405) 312-8050 Fax: (866) 542-6483
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY GUYMON
COO
Phone: (405) 312-8050
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
310400000X
- Assisted Living Facility (Primary)
OK AL5541

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.