LOVE HEALS CHURCH (NPI# 1801156963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801156963 |
| Entity Type | Organization |
| Organization Name | LOVE HEALS CHURCH |
| Other Organization Name | RESTORING LIVES PROGRAM |
| Practice Address |
3308 W 61st St Tulsa OK 74132-1223 |
| Practice Telephone | 9184452900 |
| Practice Fax Number | 9184457711 |
| Mailing Telephone | 9184452900 |
| Mailing Fax Number | 9184457711 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | DUSTAN EVANS (DIRECTOR) |
| Authorized Official Telephone | 9184452900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | OK | Agencies | |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Restoring Lives Program | Doing Business As Name - Organization |
| Street Address |
3308 W 61ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346500667 | Dustan Robert Evans | Counselor | 3308 W 61st St, Tulsa, OK 74132-1223 | 2012-05-21 |
| 1336562701 | David Rochon Sr. | Counselor | 3308 W 61st St, Tulsa, OK 74132-1223 | 2014-01-21 |
| 1629339114 | Vanessa Faulkner | Case Manager/Care Coordinator | 3308 W 61st St, Tulsa, OK 74132-1223 | 2012-05-31 |
| 1548520208 | Bob Steward | Counselor | 3308 W 61st St, Tulsa, OK 74132-1223 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| 1114279718 | Family and Children Services | Substance Abuse Rehabilitation Facility | 10922 E 39th St, Tulsa, OK 74146-2703 | 2012-10-05 |
| 1568683530 | Suzannah Louise Le Brocq | Substance Abuse Rehabilitation Facility | 12&12 Inc., 6333 East Skelly Drive, Tulsa, OK 74135 | 2007-05-01 |
| 1053317883 | 12 & 12, Inc. | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2005-06-27 |
| 1134570252 | Shannon Nolan | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2016-06-30 |
| 1285011858 | John T Bennett | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2015-05-02 |
| 1831527613 | Wanda Mcinturff | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-10-14 |
| 1790030872 | Lisa Avery | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2012-07-16 |
| 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.