ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC. (NPI# 1477659324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477659324 |
| Entity Type | Organization |
| Organization Name | ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC. |
| Practice Address |
1902 Shenandoah Dr Ardmore OK 73401-1217 |
| Practice Telephone | 5802236226 |
| Mailing Telephone | 5802236226 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STANLEY S. KITTRELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802236226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
DC1001-1001 | OK | Respite Care Facility |
| Street Address |
1902 SHENANDOAH DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1982029476 | Shadow Nursing | Respite Care | 2501 N Western Ave, Oklahoma City, OK 73106-5637 | 2014-02-20 |
| 1073727434 | Brenda Michele Parra | Respite Care | 625 Se 38th St, Lawton, OK 73501-8401 | 2007-05-09 |
| 1598093247 | Williams-simpkins Inc. | Respite Care | 1908 E Gore Blvd, Lawton, OK 73501-6128 | 2009-11-18 |
| 1831336189 | Sunny Days Adult Daycare Center | Respite Care | 700 S Pecan St, Pauls Valley, OK 73075-5049 | 2009-01-08 |
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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.