SHELTERED WORK ACTIVITY PROGRAM (NPI# 1336332303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336332303 |
| Entity Type | Organization |
| Organization Name | SHELTERED WORK ACTIVITY PROGRAM |
| Other Organization Name | SWAP |
| Practice Address |
210 E Okmulgee St Muskogee OK 74403-5453 |
| Practice Telephone | 9186838162 |
| Practice Fax Number | 9186875368 |
| Mailing Telephone | 9186838162 |
| Mailing Fax Number | 9186875368 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. EDWARD B BREEN (CEO) |
| Authorized Official Telephone | 9186838162 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100682680A | 05 |
| Other Name | Type Code |
|---|---|
| SWAP | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174903934 | Sheltered Work Activity Program | Case Manager/Care Coordinator | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2015-06-05 |
| Street Address |
210 E OKMULGEE ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225221195 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-23 |
| 1174903934 | Sheltered Work Activity Program | Case Manager/Care Coordinator | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2015-06-05 |
| 1023265394 | Sheltered Work Activity Program Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2008-08-19 |
| 1356535637 | Sheltered Work Activity Program Inc | Chore Provider | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-30 |
| 1437343712 | Sheltered Work Activity Program Inc | Psychologist | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-30 |
| 1366636649 | Sheltered Work Activity Program Inc | Technician | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-30 |
| 1447444724 | Sheltered Work Activity Program Inc | Private Vehicle | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-30 |
| 1528252806 | Sheltered Work Activity Program Inc | Technician | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-30 |
| 1053505412 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Private Vehicle | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1588784680 | Sadie Mayfeild | Day Training/Habilitation Specialist | 11034 E 16th St, Tulsa, OK 74128-4877 | 2007-03-30 |
| 1982729323 | Marilyn Hooper-kirk | Day Training/Habilitation Specialist | 5017 S Irvington Ct, Tulsa, OK 74135-6816 | 2007-03-21 |
| 1689799249 | Opportunity Center, Incorporated | Day Training/Habilitation Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2007-03-20 |
| 1205925138 | Kiamichi Opportunities | Day Training/Habilitation Specialist | 405 North 16, Hugo, OK 74743 | 2006-10-11 |
| 1841383916 | Southwest Oklahoma Community Action Group, Inc. | Day Training/Habilitation Specialist | 2208 Enterprise Dr, Altus, OK 73521-5843 | 2006-10-02 |
| 1598866535 | Betty L Evans | Day Training/Habilitation Specialist | 104 Poe Ave, Poteau, OK 74953-2418 | 2006-09-25 |
| 1467559708 | Bonnie Jean Reich | Day Training/Habilitation Specialist | 19460 8a St., Norman, OK 73026-9475 | 2006-09-20 |
| 1720183692 | Vickie Lynn Watson | Day Training/Habilitation Specialist | Rr 1 Box 64a, 14457 N 3650, Sasakwa, OK 74867-9714 | 2006-09-14 |
| 1386749729 | Brenda G. Cox II | Day Training/Habilitation Specialist | Brenda Cox, Rt.1 Box 216c, Skiatook, OK 74070-9712 | 2006-09-13 |
| 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.