SOUTH PARK CARE AND REHABILITATION CENTER
NPI 1356396048
Skilled Nursing Facility in Oklahoma City, OK

Active since May 23, 2006
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119(405) 685-4791(405) 685-0232 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Park Care And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PARK CARE AND REHABILITATION CENTER (NPI 1356396048) is a healthcare organization registered as a skilled nursing facility in Oklahoma City, Oklahoma and active in the NPI registry since May 2006. The organization lists William A. Mathies, President Director, as its authorized official.

NPPES Registry Identity

NPI1356396048
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePEAK MEDICAL OKLAHOMA NO. 4, INC.
Location Address5725 S ROSS AVEOklahoma City, OK 73119-5650
Mailing Address101 Sun Ave Ne, Compliance DepartmentAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Fax(405) 685-0232
Organization SubpartYesParent: Sunbridge Healthcare Corporation
Authorized OfficialWilliam A. MathiesPresident Director · (505) 821-3355
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 28, 2009
NPI 1356396048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH55325532
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License NH55325532 (OK)
5725 S ROSS AVE, Oklahoma City, OK 73119

Other Names 1

Doing Business AsSouth Park Care And Rehabilitation Center

Other Identifiers 2

Medicare OSCAR/certification375365
Medicaid100779070AOK

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Psychiatry & Neurology (Psychiatry)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Occupational Therapist
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Social Worker (Clinical)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Nurse Practitioner (Family)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Skilled Nursing Facility
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Skilled Nursing Facility
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Physical Therapy Assistant
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peak Medical Oklahoma No. 4, Inc.'s NPI number?

The NPI number for Peak Medical Oklahoma No. 4, Inc. is 1356396048. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as South Park Care And Rehabilitation Center.

Where is Peak Medical Oklahoma No. 4, Inc. located?

Peak Medical Oklahoma No. 4, Inc. is located at 5725 S Ross Ave, Oklahoma City, OK 73119. The listed phone number is (405) 685-4791.

What is Peak Medical Oklahoma No. 4, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Peak Medical Oklahoma No. 4, Inc. was last updated on September 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.