GOLDEN VILLA CENTER INC (NPI# 1053528026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053528026 |
| Entity Type | Organization |
| Organization Name | GOLDEN VILLA CENTER INC |
| Practice Address |
1722 N 4th St Ste B Ponca City OK 74601 |
| Practice Telephone | 5807620264 |
| Practice Fax Number | 5807620420 |
| Mailing Telephone | 5807620264 |
| Mailing Fax Number | 5807620420 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MELISSA JO KIRCHNER (DIRECTOR) |
| Authorized Official Telephone | 5807620264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1722 N 4TH ST STE B |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282747 | Donald L Brown | Day Training, Developmentally Disabled Services | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274502 | Horizon Enterprises & Healthcare Services | Day Training, Developmentally Disabled Services | 8740 E 11th St Ste B, Tulsa, OK 74112-7957 | 2020-04-18 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1144671355 | Divine Love Outreach Ministries | Day Training, Developmentally Disabled Services | 500 N F St, Muskogee, OK 74403-4144 | 2016-06-29 |
| 1144687922 | Stillwater Group Homes, Inc. | Day Training, Developmentally Disabled Services | 904 W 11th Ave, Stillwater, OK 74074-5423 | 2016-01-25 |
| 1740600436 | Community Access, Incorporated | Day Training, Developmentally Disabled Services | 1104 Se 36th St, Lawton, OK 73501-8458 | 2014-04-21 |
| 1144642885 | Oasis of Love Inc. | Day Training, Developmentally Disabled Services | 16811 E 31st St, Tulsa, OK 74134-5102 | 2014-01-15 |
| 1043649734 | Lashawn Denise Baker | Day Training, Developmentally Disabled Services | 4961 S 76th East Ave, Tulsa, OK 74145-6628 | 2013-11-04 |
| 1952639643 | Jhl Enterprises | Day Training, Developmentally Disabled Services | 102 Willow Spring Cir, Pauls Valley, OK 73075-5316 | 2009-11-18 |
| 1306013008 | Special Young Adults, Inc. | Day Training, Developmentally Disabled Services | 826 W Oregon Ave, Chickasha, OK 73018-4423 | 2008-05-12 |
| 1487823290 | Chickasha Opportunity Center, Inc. | Day Training, Developmentally Disabled Services | 1804 W Iowa Ave, Chickasha, OK 73018-2707 | 2008-02-26 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on GOLDEN VILLA CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.