FAIR OAKS RESIDENTIAL CARE LLC (NPI# 1801918784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801918784 |
| Entity Type | Organization |
| Organization Name | FAIR OAKS RESIDENTIAL CARE LLC |
| Practice Address |
1330 N 3rd St Langley OK 74350 |
| Mailing Address |
Po Box 475 Langley OK 74350-0475 |
| Practice Telephone | 9187823180 |
| Practice Fax Number | 9187829715 |
| Mailing Telephone | 9187823180 |
| Mailing Fax Number | 9187829175 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE WILSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9182605422 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
RC4902-4902 | OK | Nursing & Custodial Care Facilities |
| Street Address |
1330 N 3RD ST |
| City | LANGLEY |
| State | OK |
| Zip Code | 74350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659493559 | Denise Wilson | Licensed Practical Nurse | 1330 N 3rd St, Langley, OK 74350 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033474465 | Larry R Lewis | Pharmacist | 1631 N 3rd St, Langley, OK 74350 | 2012-07-11 |
| 1629254776 | The Dentists At Langley | Dentist | 1666 N 3rd Street, Langley, OK 74350 | 2008-01-18 |
| 1760687545 | Osborn Drugs No 4 Inc | Pharmacy | 1631 N Third Street, Langley, OK 74350 | 2007-06-20 |
| 1962538710 | Peter O Fowler IIi | Pharmacist | 1624 N 3rd, Langley, OK 74350 | 2007-02-26 |
| 1871669416 | Reasors LLC | Durable Medical Equipment & Medical Supplies | 1624 N 3rd St, Langley, OK 74350 | 2006-11-27 |
| 1407939457 | Osborn Drugs No 4 | Durable Medical Equipment & Medical Supplies | 1631 N 3rd, Langley, OK 74350 | 2006-10-23 |
| 1790255768 | Glen Burnett | Pharmacist | 1624 N 3rd St, Langley, OK 74350 | 2018-12-03 |
| 1316315674 | Osborn Drugs No 4 Inc | Durable Medical Equipment & Medical Supplies | 1631 N Third Street, Langley, OK 74350 | 2015-09-03 |
| 1922155977 | Langley Medical Clinic Inc | Family Medicine | 210 W Church St, Langley, OK 74350 | 2007-01-04 |
| 1225215445 | Jerome Jay Solow | Dentist | 1666 N 3rd Street, Langley, OK 74350-0000 | 2008-01-30 |
| Find all providers in zip 74350 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124359047 | 3c Old Fashion Boarding Home | Assisted Living Facility | 719 S Jim Thorpe Blvd, Nbu 1706, Prague, OK 74864-3505 | 2010-01-15 |
| 1558690792 | Burdine Inc | Assisted Living Facility | 214 S. Fourth St., Red Bird, OK 74458-0096 | 2009-12-17 |
| 1316142722 | Orchard Grove Rcf | Assisted Living Facility | 35010 S 4465 Rd, Vinita, OK 74301-6672 | 2007-06-16 |
| 1407051816 | Rambling Rose Dba Orchard Grove Rcf | Assisted Living Facility | 35164 S 4465 Rd, Vinita, OK 74301-6782 | 2007-06-16 |
| 1134250731 | Helen Farris | Assisted Living Facility | 17963 S 543 Road, Tahlequah, OK 74464 | 2007-03-08 |
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| 1588265383 | Randi Lyn Todd | Assisted Living Facility | 618 E Canadian Ave, Vinita, OK 74301-3810 | 2020-11-06 |
| 1083215867 | Robert Frank Tipton Jr. | Assisted Living Facility | 618 E Canadian Ave, Vinita, OK 74301-3810 | 2020-11-06 |
| 1346685542 | Miller's Residential Care, LLC | Assisted Living Facility | 203 N Gunter St, Vinita, OK 74301-2903 | 2013-05-02 |
| 1700114253 | High Cedar Residential Care | Assisted Living Facility | 18601 Cedar Ln, Noble, OK 73068-5915 | 2009-11-20 |
| Find all providers with the same taxonomy | ||||
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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.