SERENITY OUTREACH (NPI# 1447528948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447528948 |
| Entity Type | Organization |
| Organization Name | SERENITY OUTREACH |
| Practice Address |
824 East Dr Oklahoma City OK 73105-8418 |
| Practice Telephone | 4055571910 |
| Practice Fax Number | 4055570811 |
| Mailing Telephone | 4055571910 |
| Mailing Fax Number | 4055570811 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | MR. RONALD SCOTT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4055571910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SERENITY OUTREACH CDC INC | 7921 Flower Ave, Tampa, FL 33619-7300 |
| Oklahoma Business Registrations | SERENITY OUTREACH COMMUNITY CHURCH INC. | 2255 Ne 15th St, Oklahoma City, OK 73117 |
| New York State Corporations | SERENITY OUTREACH OF NY INC. | 82 Nassu Road, Roosevelt, New York 11575 |
| Oklahoma Business Registrations | SERENITY OUTREACH RECOVERY COMMUNITY | P O Box 11477, Oklahoma City, OK 73136 |
| System for Award Management (SAM) Entities | SERENITY OUTREACH RECOVERY COMMUNITY INC. | 824 East Dr, Oklahoma City, OK 73105-8418 |
| Street Address |
824 EAST DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306130711 | Gerald Leslie James | Counselor | 824 East Dr, Oklahoma City, OK 73105-8418 | 2011-06-02 |
| 1093153942 | Steven Phillips | Substance Abuse Rehabilitation Facility | 824 East Dr, Oklahoma City, OK 73105-8418 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144583170 | National Women In Ag. Association's | Voluntary or Charitable | 1701 N Martin Luther King Ave, Oklahoma City, OK 73111 | 2012-06-25 |
| 1265703342 | Positive Tomorrows, Inc. | Voluntary or Charitable | 1804 N Brauer Ave, Oklahoma City, OK 73106-4225 | 2012-01-20 |
| 1053682583 | The Homeless Alliance, Inc. | Voluntary or Charitable | 1724 Nw 4th St, Oklahoma City, OK 73106-2609 | 2012-01-13 |
| 1093027609 | The Exchange Club Center for The Prevention of Child Abuse of Oklahoma | Voluntary or Charitable | 437 Nw 12th St, Oklahoma City, OK 73103-3706 | 2010-07-12 |
| 1720141609 | Oklahoma Dental Foundation | Voluntary or Charitable | 317 Ne 13th St, Oklahoma City, OK 73104-2835 | 2006-12-19 |
| 1770130239 | La Luz Organization | Voluntary or Charitable | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2019-08-20 |
| 1124416615 | Ocarta | Voluntary or Charitable | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2015-01-06 |
| 1962842062 | Medcare United Charitable Pharmacy Inc. | Voluntary or Charitable | 711 Stanton L Young Blvd, Suite 100, Oklahoma City, OK 73104-5023 | 2013-07-03 |
| 1235578865 | Oklahoma C.a.r.t. Association (ocarta) | Voluntary or Charitable | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2013-06-17 |
| 1609219849 | Dbsa Oklahoma | Voluntary or Charitable | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2013-04-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
Please comment or provide details below to improve the information on SERENITY OUTREACH.
| 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.