Provider Demographics
NPI:1659531887
Name:TAD INVESTMENTS
Entity Type:Organization
Organization Name:TAD INVESTMENTS
Other - Org Name:RAMBLING ROSE INDEPENDENT LIVINGQ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-782-9370
Mailing Address - Street 1:35164 S 4465 RD
Mailing Address - Street 2:
Mailing Address - City:VINITA
Mailing Address - State:OK
Mailing Address - Zip Code:74301-6782
Mailing Address - Country:US
Mailing Address - Phone:918-782-9370
Mailing Address - Fax:
Practice Address - Street 1:35164 S 4465 RD
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-6782
Practice Address - Country:US
Practice Address - Phone:918-782-9370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKRC4904-4904310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKRC4904-4904OtherOKLAHOMA STATE DEPT OF HEALTH RESIDENTIAL CARE HOME LICENSE