HOME OF HOPE, INC./WOODLOE (NPI# 1225179500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225179500 |
| Entity Type | Organization |
| Organization Name | HOME OF HOPE, INC./WOODLOE |
| Practice Address |
960 West Hope Avenue Vinita OK 74301 |
| Mailing Address |
Po Box 903 Vinita OK 74301-0903 |
| Practice Telephone | 9182567825 |
| Mailing Telephone | 9182567825 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. DAVID SVEDMAN (CEO) |
| Authorized Official Telephone | 9182567825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100772430B | 05 |
| Street Address |
960 WEST HOPE AVENUE |
| City | VINITA |
| State | OK |
| Zip Code | 74301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| 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 |
|---|---|---|---|---|
| 1578604344 | Hope Housing of Vinita, Inc. | Intermediate Care Facility, Mentally Retarded | 104 S Foreman St, Vinita, OK 74301-3616 | 2007-02-12 |
| 1649399114 | Home of Hope, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1417076019 | Hope Housing of Miami, Inc | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1538288733 | Hope Housing of Vinita, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1477672871 | Hope Housing of Vinita, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1730208299 | Home of Hope, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1558480871 | Home of Hope, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1952420341 | Hope Housing of Miami, Inc | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1861511255 | Hope Housing of Miami, Inc | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| 1972622447 | Home of Hope, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Hope Ave, Vinita, OK 74301 | 2007-03-28 |
| Find all providers in VINITA | ||||
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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.