SUGAR MOUNTAIN RETREAT, INC. (NPI# 1326375379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326375379 |
| Entity Type | Organization |
| Organization Name | SUGAR MOUNTAIN RETREAT, INC. |
| Practice Address |
27753 S Welling Rd Welling OK 74471-2202 |
| Practice Telephone | 9184561010 |
| Practice Fax Number | 9184575540 |
| Mailing Telephone | 9184574221 |
| Mailing Fax Number | 9184575540 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | DAVETTA MCINTOSH (CEO) |
| Authorized Official Telephone | 9184574221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 310400000X | OK | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| Street Address |
27753 S WELLING RD |
| City | WELLING |
| State | OK |
| Zip Code | 74471-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215561 | Lake Country Healthcare LLC | Pharmacy | 27753 S Welling Rd, Welling, OK 74471-2202 | 2006-07-30 |
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1013406669 | Tanesha Lacie Carter | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2018-05-08 |
| 1942652771 | Samantha Nicole Young | Social Worker | 27753 S Welling Rd, Welling, OK 74471-2202 | 2016-07-05 |
| 1376953497 | Karen Ford | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-28 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1215350293 | Amanda Jo Long | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-28 |
| 1053734079 | Becky Gonelli | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-27 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922206382 | Sue Ella Dalrymple | Homemaker | 23315 E 830 Rd, Welling, OK 74471 | 2007-07-06 |
| 1407031214 | Hope Dupre Owen | Advanced Practice Midwife | 20432 S 560 Rd, Welling, OK 74471-2006 | 2007-12-31 |
| 1366713794 | Janus Farar | Counselor | 23463 E 774 Rd, Welling, OK 74471-2013 | 2012-01-17 |
| 1396757217 | Onward and Upward Incorporated | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2006-08-12 |
| 1811149933 | Linda Lavelle White | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-10-21 |
| 1396917027 | Mary Elaine Rainwater | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-04-02 |
| 1881894301 | Christy Dawn Steele | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-07-23 |
| 1699977066 | Patricia Ann Daniel | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-06-05 |
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144557190 | Lake Francis Residential Care LLC | Assisted Living Facility | 27753 S Welling Rd, Welling, OK 74471-2202 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
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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.