HOME OF HOPE, INC./WOODLOE


Address: 960 West Hope Avenue, Vinita, OK 74301
Phone: 9182567825

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded OK Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100772430B 05

Office Location

Street Address 960 WEST HOPE AVENUE
City VINITA
State OK
Zip Code 74301

Providers in the same zip code

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 Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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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City VINITA
Zip Code 74301

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Dataset Information

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.

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