CENTRAL STATE COMMUNITY SERVICES OKLAHOMA (NPI# 1063496065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063496065 |
| Entity Type | Organization |
| Organization Name | CENTRAL STATE COMMUNITY SERVICES OKLAHOMA |
| Practice Address |
3840 S 103rd East Ave 225 Tulsa OK 74146-2438 |
| Practice Telephone | 9186646944 |
| Practice Fax Number | 9186641706 |
| Mailing Telephone | 9186646944 |
| Mailing Fax Number | 9186641706 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LARA MORRISON (EXECUTIVE PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9186646944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3840 S 103RD EAST AVE 225 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815377 | Kayleigh Michelle Mouser | Pharmacist | 3840 S 103rd East Ave, #234, Tulsa, OK 74146-2438 | 2013-08-19 |
| 1265873053 | Michael Carlile Vowell | Pharmacist | 3840 S 103rd East Ave, Suite 234, Tulsa, OK 74146-2438 | 2013-07-09 |
| 1497006274 | Dylan Matthew Hancin | Pharmacist | 3840 S 103rd East Ave, #234, Tulsa, OK 74146-2438 | 2012-09-20 |
| 1003189473 | Laura Lorraine Thorpe | Pharmacist | 3840 S 103rd East Ave, Tulsa, OK 74146-2438 | 2012-02-16 |
| 1447530092 | Ryan G Walker | Pharmacist | 3840 S 103rd East Ave, Ste 234, Tulsa, OK 74146-2438 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274502 | Horizon Enterprises & Healthcare Services | Day Training, Developmentally Disabled Services | 8740 E 11th St Ste B, Tulsa, OK 74112-7957 | 2020-04-18 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1144642885 | Oasis of Love Inc. | Day Training, Developmentally Disabled Services | 16811 E 31st St, Tulsa, OK 74134-5102 | 2014-01-15 |
| 1043649734 | Lashawn Denise Baker | Day Training, Developmentally Disabled Services | 4961 S 76th East Ave, Tulsa, OK 74145-6628 | 2013-11-04 |
| 1184843930 | Association for Direct Care Trainers | Day Training, Developmentally Disabled Services | 9820 E 41st St, Suite 106, Tulsa, OK 74146-3651 | 2007-04-24 |
| 1790908358 | Evelyn B Marks | Day Training, Developmentally Disabled Services | 630 E Young St, Tulsa, OK 74106-3843 | 2007-04-11 |
| 1679796130 | Wanda Donalson | Day Training, Developmentally Disabled Services | 7706 S Victor Ave # B, Tulsa, OK 74136-7706 | 2007-04-11 |
| 1023133063 | Sertoma Handicapped Opportunity Program | Day Training, Developmentally Disabled Services | 222 S Memorial Dr, Tulsa, OK 74112-2202 | 2007-03-20 |
| 1023141504 | Independent Opportunities, Inc. | Day Training, Developmentally Disabled Services | 6202 S Lewis Ave Ste P, Tulsa, OK 74136-1064 | 2007-03-13 |
| 1154331973 | Girling Health Care, Inc. | Day Training, Developmentally Disabled Services | 7060 S Yale Ave, Tulsa, OK 74136-5716 | 2006-08-08 |
| Find all providers in TULSA | ||||
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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.