LIBERTY OF OKLAHOMA CORPORATION


Address: 7318 E Pine St, Tulsa, OK 74115-5743
Phone: 5392924607

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).

Provider Overview

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

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Laura Dester CHildren's Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 7318 E PINE ST
City TULSA
State OK
Zip Code 74115-5743

Providers in the same location

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

Providers in the same zip code

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 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
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

Providers in the same taxonomy and state

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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Competitor

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City TULSA
Zip Code 74115

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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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