RESTORER OF YOUTH AND FAMILIES LLC (NPI# 1063036424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063036424 |
| Entity Type | Organization |
| Organization Name | RESTORER OF YOUTH AND FAMILIES LLC |
| Practice Address |
1831 E 71st St Tulsa OK 74136-3922 |
| Mailing Address |
5553 S Peoria Ave Ste 103 Tulsa OK 74105-6840 |
| Practice Telephone | 9188524695 |
| Practice Fax Number | 9182059036 |
| Mailing Telephone | 9188524695 |
| Mailing Fax Number | 9182059036 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | DR. MICHAEL RUSSELL BAINES (ADMIN) |
| Authorized Official Telephone | 9188524695 |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTORER OF YOUTH AND FAMILIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
1831 E 71ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548391295 | Duie R Jernigan | Psychologist | 1831 E 71st St, Suite 122, Tulsa, OK 74136-3922 | 2007-03-07 |
| 1124678990 | Transformations Bip LLC | Clinic/Center | 1831 E 71st St, Tulsa, OK 74136-3922 | 2019-09-13 |
| 1861053035 | Devine Hospice Home Care LLC | Hospice Care, Community Based | 1831 E 71st St, Tulsa, OK 74136-3922 | 2019-06-27 |
| 1043774060 | Kesha Ladawn Bennett | Student in an Organized Health Care Education/Training Program | 1831 E 71st St, Tulsa, OK 74136-3922 | 2019-01-23 |
| 1467967349 | Harriet Kaliisa | Registered Nurse | 1831 E 71st St, Tulsa, OK 74136-3922 | 2017-12-13 |
| 1518341510 | Arise and Shine Professional Counseling, Pllc | Community/Behavioral Health | 1831 E 71st St, Tulsa, OK 74136 | 2015-07-20 |
| 1710309067 | Rising Hope Clinical Assistance LLC | Community/Behavioral Health | 1831 E 71st St, Tulsa, OK 74136-3922 | 2014-01-06 |
| 1821362633 | Inspira Mentoring & Counseling, LLC | Community/Behavioral Health | 1831 E 71st St, Tulsa, OK 74136-3922 | 2012-02-27 |
| 1376850073 | Michelle A. Jones | Audiologist | 1831 E 71st St, Tulsa, OK 74136-3922 | 2010-09-02 |
| 1649456096 | Jayne Alberta Bowman | Counselor | 1831 E 71st St, 256, Tulsa, OK 74136-3922 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275897357 | Andre Christopher Post | Clinic/Center | 2921 E 91st S, Tulsa, OK 74137-3322 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117885 | Christ Community Health Coalition | Clinic/Center | 101 Sw 25th St, Oklahoma City, OK 73109-6019 | 2020-09-08 |
| 1558733782 | Eastpointe Medical Clinic Inc | Clinic/Center | 1506 S Broadway St, Poteau, OK 74953-2900 | 2015-10-27 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1588982714 | Home Health Partners, LLC | Clinic/Center | 3505 S 113th West Ave, Ste C, Sand Springs, OK 74063-2720 | 2010-05-12 |
| 1194944272 | City Rescue Mission Medical Clinic | Clinic/Center | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2007-04-25 |
| 1194840389 | Hope Center Health Clinic | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-03-20 |
| 1093860272 | Stillwater Chiropractic Clinic Inc | Clinic/Center | 211 N Perkins Rd Ste 20, Stillwater, OK 74075-5518 | 2007-01-25 |
| 1265975668 | Three Rivers Health Center Muskogee | Clinic/Center | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2016-12-02 |
| 1871048249 | Jimmy Keith Ogden, Dc, PC | Clinic/Center | 3711 Chandler Rd, Muskogee, OK 74403-4930 | 2016-08-16 |
| 1639537194 | Garland Kent II | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-29 |
| 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.