LIFE CENTER, INC. (NPI# 1144505488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144505488 |
Entity Type | Organization |
Organization Name | LIFE CENTER, INC. |
Other Organization Name | LIFE ADULT DAY CENTER |
Practice Address |
411 W Matthews Ave Stillwater OK 74075-7517 |
Practice Telephone | 4053770978 |
Practice Fax Number | 4053727726 |
Mailing Telephone | 4053770978 |
Mailing Fax Number | 4053727726 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Authorized Official Name | JACQUI E. LUTTERBIE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4053770978 |
Authorized Official Credential | CTRS/L |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | DC6001-6001 | OK | Respite Care Facility |
Other Name | Type Code |
---|---|
Life Adult Day Center | Doing Business As Name - Organization |
Street Address |
411 W MATTHEWS AVE |
City | STILLWATER |
State | OK |
Zip Code | 74075-7517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
1740475375 | Paula Dawn Evans | Marriage & Family Therapist | 110 E Lakeview Drive, Stillwater, OK 74075 | 2007-09-06 |
1194942102 | Trey Ratzlaff | Physical Therapy Assistant | 1810 N Perkins Road, Stillwater, OK 74075 | 2007-04-19 |
1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
1033210851 | Robert Anton Crotty | Podiatrist | 120 N Perkins Rd, Ste A, Stillwater, OK 74075 | 2006-09-26 |
1235242074 | Ross Hospice of Ponca City, LLC | Hospice Care, Community Based | 1020 N Boomer Rd Ste 1, Stillwater, OK 74075 | 2006-08-16 |
1033156559 | Hac Inc | Pharmacy | 421 N. Main, Stillwater, OK 74075 | 2006-06-01 |
1912404583 | Hunter Elizabeth Schlosser | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2018-04-10 |
1295246213 | Melissa Kay Wilson-watts | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2017-10-17 |
Find all providers in zip 74075 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861745473 | Susan A Hilpisch | Respite Care | 3101 Neal Ave N, Stillwater, MN 55082-1343 | 2012-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447429758 | Ultimate Home Care LLC, Dba Oak View Health Services | Respite Care | 2310 S Central, Idabel, OK 74745-7916 | 2008-02-21 |
1720263130 | Carrol Lea Stanley IIi | Respite Care | 713 Del Haven Dr, Del City, OK 73115-2907 | 2008-01-03 |
1902090251 | Nightingale Nursing Services | Respite Care | 12496 E 26th St, Tulsa, OK 74129-5829 | 2007-08-30 |
1134326911 | Brookridge Inc | Respite Care | 7802 Nw Quanah Parker Trailway, Lawton, OK 73505 | 2007-06-27 |
1720201403 | Jaunita Marie Simpson | Respite Care | Rr 1 Box 69z, Hastings, OK 73548-9502 | 2007-04-11 |
1962525543 | Oasis Adult Day Services | Respite Care | 3817 S Lewis Ave, Tulsa, OK 74105-8219 | 2007-04-09 |
1205907631 | Woodlawn, LLC | Respite Care | 2219 Woodlawn Ave, Guthrie, OK 73044-5759 | 2006-11-09 |
1659458412 | Woodlawn, LLC | Respite Care | 1413 S. Chickasha, Pauls Valley, OK 73075 | 2006-11-01 |
1831437458 | C.a.r.e for Change | Respite Care | 3621 N Kelley Ave, Suite 100, Oklahoma City, OK 73111-4520 | 2013-01-17 |
1578840302 | Dynasty Care Services, LLC | Respite Care | 4337 Se 15th St, Del City, OK 73115-3001 | 2011-11-08 |
Find all providers with the same taxonomy |
City | STILLWATER |
Zip Code | 74075 |
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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.