Provider Demographics
NPI:1679119192
Name:TULSA HILLS COMMUNITY INC
Entity type:Organization
Organization Name:TULSA HILLS COMMUNITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-878-4325
Mailing Address - Street 1:3800 W 71ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-2117
Mailing Address - Country:US
Mailing Address - Phone:918-481-9988
Mailing Address - Fax:918-481-9989
Practice Address - Street 1:3800 W 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-2117
Practice Address - Country:US
Practice Address - Phone:918-481-9988
Practice Address - Fax:918-481-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKCC1902-1908OtherSNF LICENSE