WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C. (NPI# 1194925909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194925909 |
| Entity Type | Organization |
| Organization Name | WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C. |
| Practice Address |
5707 S Memorial Dr Tulsa OK 74145-9004 |
| Practice Telephone | 9187437838 |
| Mailing Telephone | 9187437838 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | MR. ED RUCKER (ADMINISTRATOR) |
| Authorized Official Telephone | 9187437838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NH7232-7232 | OK | Nursing & Custodial Care Facilities |
| Street Address |
5707 S MEMORIAL DR |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851513063 | Woodland Park Home, Inc. | Intermediate Care Facility, Mentally Retarded | 5707 S Memorial Dr, Tulsa, OK 74145-9004 | 2007-05-03 |
| 1689127375 | Andrea Palmer | Case Manager/Care Coordinator | 5707 S Memorial Dr, Tulsa, OK 74145-9004 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861609943 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 7208 S Erie Ave, Tulsa, OK 74136-6214 | 2007-05-17 |
| 1629285713 | Gatesway Foundation Inc. | Intermediate Care Facility, Mentally Retarded | 3711 S Jamestown Ave, Tulsa, OK 74135-2235 | 2007-05-17 |
| 1699982769 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 7504 S 82nd East Ave, Tulsa, OK 74133-2923 | 2007-05-17 |
| 1255548368 | Gatesway Foundation | Intermediate Care Facility, Mentally Retarded | 3836 S 117th East Ave, Tulsa, OK 74146-2935 | 2007-05-17 |
| 1851513063 | Woodland Park Home, Inc. | Intermediate Care Facility, Mentally Retarded | 5707 S Memorial Dr, Tulsa, OK 74145-9004 | 2007-05-03 |
| 1104389006 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 7318 E Pine St, Tulsa, OK 74115-5743 | 2019-04-09 |
| 1457815243 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 7318 E Pine St, Tulsa, OK 74115-5743 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959866 | Santa Fe Place LLC | Intermediate Care Facility, Mentally Retarded | 1000 S Santa Fe, Building C, Moore, OK 73160-2469 | 2018-04-11 |
| 1588179600 | Oklahoma Homes for The Developmentally Disabled, LLC | Intermediate Care Facility, Mentally Retarded | 209 E Garber Rd, Garber, OK 73738-1039 | 2017-12-12 |
| 1881055267 | Saint Andre' Bessette | Intermediate Care Facility, Mentally Retarded | 655 West Texas, Okarche, OK 73762-0245 | 2016-03-14 |
| 1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
| 1407225071 | Westview Cottages, Inc | Intermediate Care Facility, Mentally Retarded | 1900 W Harrison Ave, Guthrie, OK 73044-4053 | 2015-09-24 |
| 1407240237 | Fairchild Home and Community Based Services, LLC | Intermediate Care Facility, Mentally Retarded | 205 E Maple, Billings, OK 74630 | 2015-03-18 |
| 1922230341 | Wvl I Lp | Intermediate Care Facility, Mentally Retarded | 2102 West Warner, Guthrie, OK 73044 | 2009-08-18 |
| 1265669667 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1305 E College St, Broken Arrow, OK 74012-4204 | 2009-06-12 |
| 1457501892 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1313 E. College, Broken Arrow, OK 74012 | 2008-09-23 |
| 1972762235 | Loosen Center | Intermediate Care Facility, Mentally Retarded | 6th and Texas, Okarche, OK 73762-0245 | 2008-06-03 |
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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.