OrganizationActive
Phoenix Healthcare LLC
NPI 1104830421 · Skilled Nursing Facility · Tulsa, OK
Phoenix Healthcare LLC is a Skilled Nursing Facility organization in Tulsa, OK (NPI 1104830421).
Provider details
- NPI number
- 1104830421
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Phoenix Healthcare LLC
- Organization subpart
- Yes
- Authorized official
- Angela Matthews, Medicare Specialist(918) 743-3638
- License
- NH7221 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1944 N Iroquois Ave
Tulsa, OK 74106-4407
Phone: (918) 583-1509
Fax: (918) 583-1804
Street-level locationGet directions
Mailing address
1944 N Iroquois Ave
Tulsa, OK 74106-4407
Other names (DBA / former)
- Doing business as
- Rest Haven Nursing Center
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2008-08-08
Frequently asked questions
- What is Phoenix Healthcare LLC's NPI number?
- Phoenix Healthcare LLC's National Provider Identifier (NPI) is 1104830421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Healthcare LLC?
- Phoenix Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix Healthcare LLC located?
- Phoenix Healthcare LLC's practice location on file with NPPES is 1944 N Iroquois Ave, Tulsa, OK 74106-4407.
- What is Phoenix Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Healthcare LLC is (918) 583-1509.
- Who is the authorized official for Phoenix Healthcare LLC?
- The authorized official listed on Phoenix Healthcare LLC's NPPES record is Angela Matthews, Medicare Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Healthcare LLC's NPI active?
- Yes — Phoenix Healthcare LLC's NPI (1104830421) is active in the NPPES registry as of the last update on 2008-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.