Provider Demographics
NPI:1215013792
Name:COX RETIREMENT PROPERTIES INC
Entity Type:Organization
Organization Name:COX RETIREMENT PROPERTIES INC
Other - Org Name:THE COTTAGE EXTENDED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-232-0305
Mailing Address - Street 1:2552 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1700
Mailing Address - Country:US
Mailing Address - Phone:918-742-7080
Mailing Address - Fax:918-742-7315
Practice Address - Street 1:7707 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3643
Practice Address - Country:US
Practice Address - Phone:918-232-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH7253-7253314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200066460AMedicaid
OK375489Medicare Oscar/Certification