CARE FOR CHANGE (NPI# 1821393323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821393323 |
| Entity Type | Organization |
| Organization Name | CARE FOR CHANGE |
| Practice Address |
3621 N Kelley Ave Suite 100 Oklahoma City OK 73111-4520 |
| Practice Telephone | 4056215952 |
| Practice Fax Number | 4056215952 |
| Mailing Telephone | 4056215952 |
| Mailing Fax Number | 4056215952 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | JOSEPH DISMUKE (MANAGER) |
| Authorized Official Telephone | 4055245525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 101YA0400X | OK | Managed Care Organizations |
| Street Address |
3621 N KELLEY AVE SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690137 | Community Adolescent Rehabilitative Effort for Change Inc | Community/Behavioral Health | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2007-02-28 |
| 1962009886 | Cecilia Monique Blackwell | Peer Specialist | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2020-10-04 |
| 1922664986 | Linda Marie Campbell | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2019-05-15 |
| 1518491380 | Trenell Carter | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1972037802 | Detra Michele Morton | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1750783577 | Myelia Gerald | Counselor | 3621 N Kelley Ave, Suit 100, Oklahoma City, OK 73111-4520 | 2014-09-24 |
| 1962814822 | Zolunda Greenwood | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-27 |
| 1093127409 | Zamora Williams | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-20 |
| 1174943260 | Cassandra Pittmon | Case Manager/Care Coordinator | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-04-16 |
| 1356769780 | Gary Lewis | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518316272 | Johnson Family Chiropractic Clinic | Preferred Provider Organization | 11914 N Pennsylvania Ave, Suite B3, Oklahoma City, OK 73120-7831 | 2016-06-03 |
| 1205105160 | Christi Miller | Preferred Provider Organization | 3337 Sw 48th St, Oklahoma City, OK 73119-4328 | 2011-12-22 |
| 1437470242 | New Beginnings Group Home | Preferred Provider Organization | 817 Ne 61st St, Oklahoma City, OK 73105-6406 | 2010-06-15 |
| 1750556536 | All Smiles Dentistry, P.C. | Preferred Provider Organization | 6401 Nw Expressway Ste 132, Oklahoma City, OK 73132-5142 | 2008-04-23 |
| 1568852135 | Aky Md LLC | Preferred Provider Organization | 2809 Sw 119th St, Oklahoma City, OK 73170-2605 | 2015-02-03 |
| 1417271115 | Jennifer M. Jenkins, Dds, PC | Preferred Provider Organization | 6800 S Western Ave, Oklahoma City, OK 73139-1809 | 2010-03-24 |
| 1033302906 | Spine Care of Oklahoma, LLC | Preferred Provider Organization | 5900 Mosteller Dr, Suite 3, Oklahoma City, OK 73112-4600 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427455542 | Refresh Dentistry | Preferred Provider Organization | 732 W New Orleans St, Suite 132, Broken Arrow, OK 74011-1803 | 2014-12-04 |
| 1568885002 | Douglas Counseling | Preferred Provider Organization | 1 Buffalo Dr, Mcalester, OK 74501-4270 | 2014-02-03 |
| 1598198780 | Primary Care Physicians of Tulsa Region PC | Preferred Provider Organization | 8005 E 106th St, Tulsa, OK 74133-6600 | 2013-08-12 |
| 1528408523 | Altus Premier Health Clinic P.l.l.c. | Preferred Provider Organization | 304 S Park Ln Ste B, Altus, OK 73521-5754 | 2013-07-05 |
| 1083052724 | Creoaks Behavioral Health Services | Preferred Provider Organization | 2725 East Skelly Drive Ste. 202, Tulsa, OK 74105 | 2013-06-04 |
| 1427322361 | Blue and Red Dental LLC | Preferred Provider Organization | 2840 E 101st St, Tulsa, OK 74137-5601 | 2012-02-23 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1023398062 | Youthcare of Oklahoma | Preferred Provider Organization | 11297 N 1976 Rd, Elk City, OK 73644-6002 | 2011-08-22 |
| 1497929400 | Michael E Nelson Dds, Inc | Preferred Provider Organization | 2025 W Elk Ave Ste A, Duncan, OK 73533-1601 | 2008-04-22 |
| 1770709248 | Coweta Family Chiropractic Clinic Pllc | Preferred Provider Organization | 13783 S St Hwy 51, Coweta, OK 74429-0333 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
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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.