DCCCA, INC (NPI# 1558632299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558632299 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC |
| Other Organization Name | DCCCA CHILD WELFARE OKLAHOMA |
| Practice Address |
3517 Lake Rd Ponca City OK 74604-5168 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 7858414138 |
| Practice Fax Number | 7858415777 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | KERYE J. JACKSON (CFO) |
| Authorized Official Telephone | 7858414138 |
| Authorized Official Credential | CPA, CMA |
| Is Organization Subpart | Y |
| Parent Organization Name | DCCCA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| Other Name | Type Code |
|---|---|
| DCCCA Child Welfare Oklahoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417280611 | Dccca, Inc | Case Management | 700 N Market St, Wichita, KS 67214-3518 | 2009-09-08 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| 1356469209 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 3015 W 31st St, Lawrence, KS 66047-3042 | 2007-03-27 |
| 1215055090 | Dccca, Inc | Clinic/Center | 501 W Central St, Columbus, KS 66725-9211 | 2007-03-27 |
| 1932227683 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 2930 Sw Wanamaker Dr, Topeka, KS 66614-4116 | 2007-03-27 |
| 1477646073 | Dccca, Inc | Case Management | 501 S. Ninnescah, Pratt, KS 67124-2838 | 2006-10-02 |
| 1861793556 | Dccca, Inc | Case Management | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2010-11-11 |
| 1053551663 | Dccca, Inc | Case Management | 121 College St, Winfield, KS 67156-2442 | 2009-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 |
| Colorado Business Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047 |
| Oklahoma Business Registrations | DCCCA, INC. | 3312 Clinton Parkway, Lawrence, KS 66047 |
| Street Address |
3517 LAKE RD |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74604-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316960 | Kathryn L Nipper | Registered Nurse | Jane Morris, 13 Hillcrest Dr, Ponca City, OK 74604 | 2019-09-26 |
| 1043617723 | Tim Henslee | Occupational Therapy Assistant | 1601 Academy Road, Ponca City, OK 74604 | 2014-11-25 |
| 1154736221 | Paula Oast | Occupational Therapy Assistant | 1601 Academy Rd., Ponca City, OK 74604 | 2014-06-26 |
| 1154657948 | Limb Salvage International, Inc | General Practice | 2210 N 14th St, Ponca City, OK 74604 | 2009-10-29 |
| 1124150305 | Scott Thomas Kirkpatrick Sr. | Chiropractor | 1916 Lake Road, Ponca City, OK 74604 | 2007-03-12 |
| 1093854556 | Jamie Dawn Phillips | Counselor | 1300 Summers Pl, Ponca City, OK 74604 | 2007-02-05 |
| 1790160224 | Ann Mayse | Counselor | 1912 Lake Rd, Ponca City, OK 74604 | 2015-07-27 |
| 1013217462 | Laura Anne Peitz | Counselor | 3415 Meadow Ln, Ponca City, OK 74604-1318 | 2010-11-01 |
| 1194362913 | Stephanie Lynn Wright | Peer Specialist | 1512 Queens Ave, Ponca City, OK 74604-1321 | 2019-12-01 |
| 1073881314 | Triad Family Chiropractic, LLC | Chiropractor | 3004 Turner St, Ponca City, OK 74604-1512 | 2011-12-01 |
| Find all providers in zip 74604 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043603376 | Arrow Child and Family Ministries of Oklahoma | Foster Care Agency | 7710 Nw 10th St, Oklahoma City, OK 73127-4413 | 2015-03-11 |
| 1740618305 | Good Samaritan Foster Care LLC | Foster Care Agency | 545 W Strothers Ave, Seminole, OK 74868-3126 | 2013-10-17 |
| 1073823431 | Melba Jo Atkinson | Foster Care Agency | 4777 110th. St., Byars, OK 74831 | 2010-10-19 |
| 1639400484 | James Kenneth Clemons | Foster Care Agency | 2725 Ne Euclid Ave, Lawton, OK 73507-7147 | 2010-01-19 |
| 1740826999 | Oklahoma Families First Inc | Foster Care Agency | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2019-11-22 |
| 1245780592 | Regina Shumate | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-11 |
| 1073067344 | Melissa Reading | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-08-04 |
| 1255789178 | Addison Bailie Mcconnell | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-06-01 |
| 1407211444 | Choices for Life Foster Care Inc. | Foster Care Agency | 4101 Perimeter Center Dr, Suite 250, Oklahoma City, OK 73112-2302 | 2015-12-17 |
| 1669809745 | Yco West, Inc Tfc | Foster Care Agency | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2013-10-03 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74604 |
Please comment or provide details below to improve the information on DCCCA, INC.
| 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.