Phoenix Healthcare LLC
NPI 1104830421ActiveOrganization· Skilled Nursing Facility· Tulsa, OK
Skilled Nursing Facility in Tulsa, Oklahoma, registered in NPPES in July 2006, part of Phoenix Healthcare LLC. The authorized official on file is Angela Matthews, Medicare Specialist.
Overview
| NPI | 1104830421 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Phoenix Healthcare LLC |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Aug 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NH7221 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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