LIBERTY OF OKLAHOMA CORPORATION (NPI# 1457815243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457815243 |
Entity Type | Organization |
Organization Name | LIBERTY OF OKLAHOMA CORPORATION |
Practice Address |
7318 E Pine St Tulsa OK 74115-5743 |
Practice Telephone | 5392924607 |
Practice Fax Number | 5392924691 |
Mailing Telephone | 5392924607 |
Mailing Fax Number | 5392924691 |
Enumeration Date | 2019-01-25 |
Last Update Date | 2019-01-25 |
Authorized Official Name | DR. HUGH M. SAGE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5805425775 |
Authorized Official Credential | PHD |
Is Organization Subpart | Y |
Parent Organization Name | LIBERTY OF OKLAHOMA CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Laura Dester CHildren's Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932286119 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 2501 N.e. Delaware, Enid, OK 73701-9410 | 2006-11-01 |
1104389006 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 7318 E Pine St, Tulsa, OK 74115-5743 | 2019-04-09 |
Street Address |
7318 E PINE ST |
City | TULSA |
State | OK |
Zip Code | 74115-5743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770668105 | Dow Greg Mc Carty | Psychologist | 7318 E Pine St, Tulsa, OK 74115-5743 | 2006-10-26 |
1104389006 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 7318 E Pine St, Tulsa, OK 74115-5743 | 2019-04-09 |
1316211493 | Alisa Zonin | Rehabilitation Counselor | 7318 E Pine St, Tulsa, OK 74115-5743 | 2012-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538698899 | Pateisha Royal | Counselor | 7813 E. Independence St., Tulsa, OK 74115 | 2017-06-08 |
1154788750 | Heather Sisson-white | Case Manager/Care Coordinator | 132 N. Marion Ave, Tulsa, OK 74115 | 2016-01-27 |
1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
1205031317 | Veera Aparanji Kaja | Dentist | 6801 E. Admiral Place, Tulsa, OK 74115 | 2007-06-19 |
1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
1215942602 | G Chris Bussman | Dentist | 6716 E Pine, Tulsa, OK 74115 | 2006-07-31 |
1205870912 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | Bcchs Celia Clinton Elementary, 1740 N. Harvard Ave., Tulsa, OK 74115 | 2006-06-15 |
1356853832 | Phoenix Soleil-maria Cooper | Case Manager/Care Coordinator | 3641 E 36th St N, Tulsa, OK 74115-1702 | 2017-10-24 |
1215380449 | Taleya Mayberry | Case Manager/Care Coordinator | 4115 E 36th St N, Tulsa, OK 74115-1709 | 2016-07-23 |
1104925619 | Marsha Ann Basner | Nutritionist | 3324 E 30th Pl N, Tulsa, OK 74115-2421 | 2006-09-21 |
Find all providers in zip 74115 |
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 |
---|---|---|---|---|
1861609943 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 7208 S Erie Ave, Tulsa, OK 74136-6214 | 2007-05-17 |
1629285713 | Gatesway Foundation Inc. | Intermediate Care Facility, Mentally Retarded | 3711 S Jamestown Ave, Tulsa, OK 74135-2235 | 2007-05-17 |
1699982769 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 7504 S 82nd East Ave, Tulsa, OK 74133-2923 | 2007-05-17 |
1255548368 | Gatesway Foundation | Intermediate Care Facility, Mentally Retarded | 3836 S 117th East Ave, Tulsa, OK 74146-2935 | 2007-05-17 |
1851513063 | Woodland Park Home, Inc. | Intermediate Care Facility, Mentally Retarded | 5707 S Memorial Dr, Tulsa, OK 74145-9004 | 2007-05-03 |
1104389006 | Liberty of Oklahoma Corporation | Intermediate Care Facility, Mentally Retarded | 7318 E Pine St, Tulsa, OK 74115-5743 | 2019-04-09 |
1194925909 | Woodland Park Home Management Company, L.L.C. | Intermediate Care Facility, Mentally Retarded | 5707 S Memorial Dr, Tulsa, OK 74145-9004 | 2007-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467959866 | Santa Fe Place LLC | Intermediate Care Facility, Mentally Retarded | 1000 S Santa Fe, Building C, Moore, OK 73160-2469 | 2018-04-11 |
1588179600 | Oklahoma Homes for The Developmentally Disabled, LLC | Intermediate Care Facility, Mentally Retarded | 209 E Garber Rd, Garber, OK 73738-1039 | 2017-12-12 |
1881055267 | Saint Andre' Bessette | Intermediate Care Facility, Mentally Retarded | 655 West Texas, Okarche, OK 73762-0245 | 2016-03-14 |
1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
1407225071 | Westview Cottages, Inc | Intermediate Care Facility, Mentally Retarded | 1900 W Harrison Ave, Guthrie, OK 73044-4053 | 2015-09-24 |
1407240237 | Fairchild Home and Community Based Services, LLC | Intermediate Care Facility, Mentally Retarded | 205 E Maple, Billings, OK 74630 | 2015-03-18 |
1922230341 | Wvl I Lp | Intermediate Care Facility, Mentally Retarded | 2102 West Warner, Guthrie, OK 73044 | 2009-08-18 |
1265669667 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1305 E College St, Broken Arrow, OK 74012-4204 | 2009-06-12 |
1457501892 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 1313 E. College, Broken Arrow, OK 74012 | 2008-09-23 |
1972762235 | Loosen Center | Intermediate Care Facility, Mentally Retarded | 6th and Texas, Okarche, OK 73762-0245 | 2008-06-03 |
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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.