NORTH COUNTY SENIOR LIVING
NPI 1720506702
Skilled Nursing Facility in Collinsville, OK

Active since August 30, 2017CLIA 37D0656668 · Waiver
2300 W BROADWAY ST, COLLINSVILLE, OK 74021(918) 371-2545(918) 770-0212 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North County Senior Living NPPES

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

NORTH COUNTY SENIOR LIVING (NPI 1720506702) is a healthcare organization registered as a skilled nursing facility in Collinsville, Oklahoma and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bill Bush, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720506702
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCITY OF SAPULPA
Location Address2300 W BROADWAY STCollinsville, OK 74021-1625
Mailing AddressPo Box 990Edmond, OK 73083-0990 · (405) 285-8166 · Fax (405) 563-9447
Fax(918) 770-0212
Organization SubpartYes
Authorized OfficialBill BushCfo · (405) 285-8166
Enumeration DateAugust 30, 2017
NPI 1720506702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OK · NH7207
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.

2300 W BROADWAY ST, Collinsville, OK 74021

Other Names 1

Doing Business AsNorth County Senior Living

Other Identifiers 1

OtherNH7207OK · License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0656668

North County Center For Nursing & Rehabilitation North County Operations Snf, LLC · Collinsville, OK
Active · expires Aug 31, 2026
CLIA Number37D0656668
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCassie Mayfield
Laboratory Phone(918) 371-2545
Laboratory LocationNorth County Center For Nursing & Rehabilitation North County Operations Snf, LLC2300 W Broadway St, Collinsville, OK 74021
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Skilled Nursing Facility
2300 W BROADWAY ST
COLLINSVILLE, OK 74021
Physical Therapy Assistant
2300 W BROADWAY ST
COLLINSVILLE, OK 74021
Occupational Therapy Assistant
2300 W BROADWAY ST
COLLINSVILLE, OK 74021
Occupational Therapy Assistant
2300 W BROADWAY ST
COLLINSVILLE, OK 74021
Skilled Nursing Facility
2300 W BROADWAY ST
COLLINSVILLE, OK 74021
Skilled Nursing Facility
2300 W BROADWAY ST
COLLINSVILLE, OK 74021

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 City Of Sapulpa's NPI number?

The NPI number for City Of Sapulpa is 1720506702. It was assigned to this organization in the NPPES registry on August 30, 2017. The provider is doing business as North County Senior Living.

Where is City Of Sapulpa located?

City Of Sapulpa is located at 2300 W Broadway St, Collinsville, OK 74021. The listed phone number is (918) 371-2545.

What is City Of Sapulpa's specialty?

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

Does City Of Sapulpa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0656668) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Sapulpa was last updated on August 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.