SOUTH CENTRAL INDUSTRIES, INC (NPI# 1114019262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114019262 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL INDUSTRIES, INC |
| Practice Address |
130 N Louisa Ave Shawnee OK 74801-6828 |
| Mailing Address |
Po Box 3766 Shawnee OK 74802-3766 |
| Practice Telephone | 4052753851 |
| Practice Fax Number | 4052757001 |
| Mailing Telephone | 4052753851 |
| Mailing Fax Number | 4052757001 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PAULA E. CLICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4052753851 |
| Authorized Official Credential | AS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
130 N LOUISA AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1245636166 | Michaels Mission, LLC | Day Training, Developmentally Disabled Services | 4744 Bond St, Shawnee, KS 66203-1017 | 2014-11-05 |
| 1811325699 | Willowtree Supports Inc | Day Training, Developmentally Disabled Services | 23733 W 83rd Ter, Shawnee, KS 66227-3142 | 2013-10-14 |
| 1386781318 | Faith 7 Activity Center | Day Training, Developmentally Disabled Services | 301 S Kennedy Ave, Shawnee, OK 74801-7613 | 2007-01-31 |
| 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 |
| 1144671355 | Divine Love Outreach Ministries | Day Training, Developmentally Disabled Services | 500 N F St, Muskogee, OK 74403-4144 | 2016-06-29 |
| 1144687922 | Stillwater Group Homes, Inc. | Day Training, Developmentally Disabled Services | 904 W 11th Ave, Stillwater, OK 74074-5423 | 2016-01-25 |
| 1740600436 | Community Access, Incorporated | Day Training, Developmentally Disabled Services | 1104 Se 36th St, Lawton, OK 73501-8458 | 2014-04-21 |
| 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 |
| 1952639643 | Jhl Enterprises | Day Training, Developmentally Disabled Services | 102 Willow Spring Cir, Pauls Valley, OK 73075-5316 | 2009-11-18 |
| 1306013008 | Special Young Adults, Inc. | Day Training, Developmentally Disabled Services | 826 W Oregon Ave, Chickasha, OK 73018-4423 | 2008-05-12 |
| 1487823290 | Chickasha Opportunity Center, Inc. | Day Training, Developmentally Disabled Services | 1804 W Iowa Ave, Chickasha, OK 73018-2707 | 2008-02-26 |
| 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.