LOOSEN CENTER (NPI# 1972762235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972762235 |
| Entity Type | Organization |
| Organization Name | LOOSEN CENTER |
| Practice Address |
6th and Texas Okarche OK 73762-0245 |
| Mailing Address |
Po Box 245 Okarche OK 73762-0245 |
| Practice Telephone | 4052634658 |
| Practice Fax Number | 4052634718 |
| Mailing Telephone | 4052634658 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MR. JIM OBRIEN SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4052634658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 315P00000X | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100771890A | 05 |
| Street Address |
6TH AND TEXAS |
| City | OKARCHE |
| State | OK |
| Zip Code | 73762-0245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366717647 | Columbian Hall | Intermediate Care Facility, Mentally Retarded | 6th and Texas, Okarche, OK 73762-0245 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013263136 | Sydney Eva-marie Haggins | Family Medicine | 315 W Kansas Street, Okarche, OK 73762 | 2012-07-26 |
| 1083809479 | Gerber Family LLC | Family Medicine | 315 W Kansas, Okarche, OK 73762 | 2007-09-10 |
| 1043493190 | Thomas R Stough Md PC | General Practice | 315 W Kansas, Okarche, OK 73762 | 2007-12-12 |
| 1396925145 | Thomas R Stough Md PC | Family Medicine | 315 W Kansas, Okarche, OK 73762 | 2007-11-09 |
| 1972633642 | Gina Marie Crawford | Nurse Practitioner | Box 129, Okarche, OK 73762-0129 | 2007-03-06 |
| 1992755722 | James S Gerber | Family Medicine | 315 W Kansas Ave, Okarche, OK 73762-0129 | 2006-05-11 |
| 1881055267 | Saint Andre' Bessette | Intermediate Care Facility, Mentally Retarded | 655 West Texas, Okarche, OK 73762-0245 | 2016-03-14 |
| 1649303942 | Center of Family Love | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2007-03-14 |
| 1962777128 | Salatka Hall | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2012-03-20 |
| 1215137401 | Center of Family Love | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2007-07-25 |
| Find all providers in zip 73762 | ||||
| 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 |
|---|---|---|---|---|
| 1881055267 | Saint Andre' Bessette | Intermediate Care Facility, Mentally Retarded | 655 West Texas, Okarche, OK 73762-0245 | 2016-03-14 |
| 1649303942 | Center of Family Love | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2007-03-14 |
| 1962777128 | Salatka Hall | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2012-03-20 |
| 1366717647 | Columbian Hall | Intermediate Care Facility, Mentally Retarded | 6th and Texas, Okarche, OK 73762-0245 | 2012-03-20 |
| 1215137401 | Center of Family Love | Intermediate Care Facility, Mentally Retarded | 635 West Texas, Okarche, OK 73762-0245 | 2007-07-25 |
| 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 |
| 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 |
| 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 |
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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.