CHOICES FOR LIFE FOSTER CARE, INC. (NPI# 1215098389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215098389 |
| Entity Type | Organization |
| Organization Name | CHOICES FOR LIFE FOSTER CARE, INC. |
| Other Organization Name | CHOICES FOR LIFE SAPULPA |
| Practice Address |
724 S Mission St Sapulpa OK 74066-4660 |
| Mailing Address |
4101 Perimeter Center Dr Ste 250 Oklahoma City OK 73112-2302 |
| Practice Telephone | 9182484340 |
| Practice Fax Number | 9182484345 |
| Mailing Telephone | 4057510800 |
| Mailing Fax Number | 4057516488 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS DOUGLAS CHARLES FELLRATH (CEO) |
| Authorized Official Telephone | 4057510800 |
| Authorized Official Credential | ATTORNEY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | K8600134 | OK | Agencies |
| Other Name | Type Code |
|---|---|
| Choices For Life Sapulpa | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346300027 | Choices for Life Foster Care, Inc. | Community/Behavioral Health | 229 W Gentry Ave, Checotah, OK 74426-2439 | 2006-12-11 |
| Street Address |
724 S MISSION ST |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673559 | Leslie Louise Gallaway | Case Manager/Care Coordinator | 724 S Mission St, Sapulpa, OK 74066-4660 | 2018-06-15 |
| 1114349875 | Cynthia Kaye Stubblefield | Counselor | 724 S Mission St, Sapulpa, OK 74066-4660 | 2014-01-15 |
| 1982046611 | Choices for Life | Foster Care Agency | 724 S Mission St, Sapulpa, OK 74066-4660 | 2013-07-23 |
| 1700137494 | Choices for Life Foster Care | Foster Care Agency | 724 S Mission St, Sapulpa, OK 74066-4660 | 2012-09-21 |
| 1598047912 | Lara King | Counselor | 724 S Mission St, Sapulpa, OK 74066-4660 | 2011-09-12 |
| 1316228315 | Julie Kline | Social Worker | 724 S Mission St, Sapulpa, OK 74066-4660 | 2011-09-02 |
| 1215238738 | Teresa Mocha Newton | Counselor | 724 S Mission St, Sapulpa, OK 74066-4660 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740429414 | Georgia's Christian Counseling | Community/Behavioral Health | 11340 S 35th W Avenue, Sapulpa, OK 74066 | 2009-02-19 |
| 1255842993 | Koreena Dawn Davis | Community/Behavioral Health | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-10-20 |
| 1023402740 | Creek Nation Behavioral Health | Community/Behavioral Health | 1943 S Water St, Sapulpa, OK 74066-6532 | 2015-03-19 |
| 1417190786 | Human Skill & Resources, Inc. | Community/Behavioral Health | 2 N Water St, Sapulpa, OK 74066-2816 | 2009-04-15 |
| 1922260223 | Creoks Behavioral Health | Community/Behavioral Health | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2008-06-27 |
| 1437291804 | Human Skills & Resources | Community/Behavioral Health | 2 N Water St, Sapulpa, OK 74066-2816 | 2007-02-13 |
| 1003900267 | Creoks Mental Health | Community/Behavioral Health | 15 E Dewey Ave, Sapulpa, OK 74066-4201 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| 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.