WOODLAWN LP (NPI# 1679565709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679565709 |
Entity Type | Organization |
Organization Name | WOODLAWN LP |
Other Organization Name | PROVIDENCE HOUSE |
Practice Address |
405 N 20th St Guthrie OK 73044-2103 |
Mailing Address |
Po Box 977 Guthrie OK 73044-0977 |
Practice Telephone | 4052821517 |
Practice Fax Number | 4052829007 |
Mailing Telephone | 4052822600 |
Mailing Fax Number | 4052822610 |
Enumeration Date | 2005-08-16 |
Last Update Date | 2011-09-08 |
Authorized Official Name | MR. GREG MACHTOLFF (MANAGER) |
Authorized Official Telephone | 4052822600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NH4208 | OK | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100771000A | 05 |
Other Name | Type Code |
---|---|
PROVIDENCE HOUSE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154313278 | Woodlawn Lp | Nursing Facility/Intermediate Care Facility | 2219 Woodlawn, Guthrie, OK 73044 | 2005-08-16 |
Street Address |
405 N 20TH ST |
City | GUTHRIE |
State | OK |
Zip Code | 73044-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043689615 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 405 N 20th St, Guthrie, OK 73044-2103 | 2015-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356869952 | Martha Jean Crowe | Technician, Other | 1916 E. Perkins, Guthrie, OK 73044 | 2017-09-03 |
1518487412 | Robin Lynn Wheeler | Peer Specialist | 2000 Woodlawn Dr. Apt B7, Guthrie, OK 73044 | 2017-06-21 |
1083147284 | Kourtney Stafford | Case Manager/Care Coordinator | 390 S Henney Rd, Guthrie, OK 73044 | 2017-04-05 |
1396297826 | Mary Ann Oliver | Case Management | 2403 S Division, Suite C&d, Guthrie, OKLAHOMA 73044 | 2016-11-01 |
1881143204 | Kathryn Elizabeth Price | Dietitian, Registered | 5750 Cedar Tree Cir, Guthrie, OK 73044 | 2016-09-27 |
1598134165 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 2102 W Warner, Guthrie, OK 73044 | 2015-09-24 |
1023447166 | Leland Finn | Case Manager/Care Coordinator | 108 Harvest Road, Guthrie, OK 73044 | 2013-11-08 |
1891044632 | Sycheekia D King | Case Management | 913 E.springer, Guthrie, OK 73044 | 2012-09-07 |
1235486929 | Leondra Janell Doakes | Counselor | 1321 E. Oklahoma Ave., Guthrie, OK 73044 | 2012-08-13 |
1568756120 | Linda Jo Roper | Behavioral Analyst | 104 Eastwood Drive, Guthrie, OK 73044 | 2011-06-01 |
Find all providers in zip 73044 |
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 |
---|---|---|---|---|
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 |
1922230341 | Wvl I Lp | Intermediate Care Facility, Mentally Retarded | 2102 West Warner, Guthrie, OK 73044 | 2009-08-18 |
1295727337 | Wvl I Lp | Intermediate Care Facility, Mentally Retarded | 1900 West Harrison, Guthrie, OK 73044-4053 | 2005-08-16 |
1043689615 | Guthrie Cottages, LLC | Intermediate Care Facility, Mentally Retarded | 405 N 20th St, Guthrie, OK 73044-2103 | 2015-09-24 |
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 |
1407240237 | Fairchild Home and Community Based Services, LLC | Intermediate Care Facility, Mentally Retarded | 205 E Maple, Billings, OK 74630 | 2015-03-18 |
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 |
1134302573 | Santa Fe Cheyenne House | Intermediate Care Facility, Mentally Retarded | 1000b S Santa Fe Ave, Moore, OK 73160-2469 | 2007-12-07 |
1902098437 | Santa Fe Place LLC | Intermediate Care Facility, Mentally Retarded | 1000 S Santa Fe Ave, A, Moore, OK 73160-2469 | 2007-08-17 |
1861609943 | Gatesway Foundation Inc | Intermediate Care Facility, Mentally Retarded | 7208 S Erie Ave, Tulsa, OK 74136-6214 | 2007-05-17 |
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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.