Restorer of Youth and Families LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

RESTORER OF YOUTH AND FAMILIES LLC

Practice address

1831 E 71St St
Tulsa, OK 74136-3922

Phone

(918) 852-4695

Fax

(918) 205-9036

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORER OF YOUTH AND FAMILIES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Russell Baines

Title

Admin

Phone

(918) 852-4695

Specialties & licenses 1

Addresses

Tax ID family

Restorer of Youth and Families LLC2 organizations share this tax ID, including this one

Part of

Restorer of Youth and Families LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family and Youth Intervention Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609188853
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1063036424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 S PEORIA AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056840",
            "telephone_number": "918-852-4695",
            "fax_number": "918-205-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363922",
            "telephone_number": "918-852-4695",
            "fax_number": "918-205-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORER OF YOUTH AND FAMILIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORER OF YOUTH AND FAMILIES LLC",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "918-852-4695",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Hokit Restor, RN
• Restore Dentures and Dental Implants PLLC
• Restored Health & Wellness Center
• Restored Health, PLLC
• Restorelife LLC
• Results Medical Aesthetics LLC (Laura Bilbruck, MD)
• Retina and Vitreous of Oklahoma, P.L.L.C.
• Retina Associates Inc (Raymond E. Townsend M D)
• Emily Retkowski, COTA/L
• Nathan G Reusser, DO

• Community Health Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.