SPECIALIZED FOSTER HOME (NPI# 1093926149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093926149 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED FOSTER HOME |
| Practice Address |
Rr 1 Box 112a Sallisaw OK 74955-9737 |
| Practice Telephone | 9187752628 |
| Practice Fax Number | 9187752628 |
| Mailing Telephone | 9187752628 |
| Mailing Fax Number | 9187752628 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ZOELLA KAY ROGERS (PROVIDER) |
| Authorized Official Telephone | 9187752628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| Street Address |
RR 1 BOX 112A |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277317 | Shri Krishnapriya Hospitality | Lodging | 120 S Lincoln Blvd, Oklahoma City, OK 73104-7011 | 2020-02-18 |
| 1326203993 | Reechia Christine Collins | Lodging | 604 S Hillcrest Court Ln, Mustang, OK 73064-5530 | 2008-07-23 |
| 1316142763 | Nickolate Lorenzen | Lodging | 1719 Quail Creek Dr, Norman, OK 73026-0943 | 2007-06-17 |
| 1932304516 | Nettie Louise Teaque | Lodging | Rt 1 Box 856, Sperry, OK 74073 | 2007-06-15 |
| 1457554966 | Linda Carol Yarbrough | Lodging | 5498 W Chambers Rd, Mcalester, OK 74501-1767 | 2007-06-11 |
| 1326249590 | Shirley Ann Rush | Lodging | 7819 Marilyn Lane, Tulsa, OK 74131-3265 | 2007-05-29 |
| 1134335771 | Noel Stubbs | Lodging | Rr 1 Box 239, Gore, OK 74435-9510 | 2007-05-14 |
| 1982825758 | Regina Baker | Lodging | 205 W Cedar, Coalgate, OK 74538 | 2007-05-01 |
| 1487776845 | Jeanne Brady | Lodging | 1517 E Oklahoma Ave, Enid, OK 73701-6363 | 2007-04-05 |
| 1215061064 | Nancy Charlene Durbin | Lodging | 501 East Lincoln Ave, Agra, OK 74824-0285 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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| 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.