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Contact Information

BROADMOOR HEALTH CARE, LLC
8205 E 22ND ST
TULSA, OK74129-2839
 Phone: 918-622-2151
 Fax: 918-622-2233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for BROADMOOR HEALTH CARE, LLC

NPI # 1710391586
LBN Legal business name BROADMOOR HEALTH CARE, LLC
Authorized official JUDAH BIENSTOCK - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2014
Last updated 12/02/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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