NATIONAL COMMUNITY DEV CORP OF OK (NPI# 1184978512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184978512 |
| Entity Type | Organization |
| Organization Name | NATIONAL COMMUNITY DEV CORP OF OK |
| Other Organization Name | NCDC OF OK |
| Practice Address |
3115 S Winston Ave Tulsa OK 74135-2028 |
| Practice Telephone | 9185852233 |
| Practice Fax Number | 9185852513 |
| Mailing Telephone | 9185852233 |
| Mailing Fax Number | 9185852513 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | JIM FLUEGEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9185852233 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7669 | OK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100630490K | 05 |
| Other Name | Type Code |
|---|---|
| NCDC of OK | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053512251 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| 1497946768 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-08-05 |
| 1013107101 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-07-26 |
| 1790986768 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| 1992906945 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| 1194926147 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| 1225239296 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| 1982805958 | National Community Dev Corp of Ok | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1516 So Boston, Suite One, Tulsa, OK 74119-4029 | 2007-05-29 |
| Street Address |
3115 S WINSTON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012156 | Sawyer Investments, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9810 E 45th Pl, Tulsa, OK 74146-4708 | 2008-08-01 |
| 1225153521 | Employment Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste D, Tulsa, OK 74136-1064 | 2007-03-19 |
| 1174649917 | Independent Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-22 |
| 1114042587 | Independent Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-21 |
| 1548385917 | Independent Opportunities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-21 |
| 1548385909 | Independent Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-21 |
| 1881719276 | Independent Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-21 |
| 1235254418 | Independent Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-20 |
| 1245355387 | Employment Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste D, Tulsa, OK 74136-1064 | 2007-03-20 |
| 1609991751 | Employment Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6202 S Lewis Ave Ste D, Tulsa, OK 74136-1064 | 2007-03-20 |
| Find all providers in TULSA | ||||
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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.