Organization Active NPI

Central State Community Services Oklahoma

  • Developmentally Disabled Services Day Training Agency
  • Tulsa, OK
National Provider Identifier
1063496065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CENTRAL STATE COMMUNITY SERVICES OKLAHOMA
Practice address
3840 S 103Rd East Ave
225
Tulsa, OK 74146-2438
Phone
(918) 664-6944
Fax
(918) 664-1706
NPI assigned
Dec 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lara Morrison
Title
Executive Program Director
Phone
(918) 664-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3840 S 103Rd East Ave
225
Tulsa, OK 74146-2438

Mailing address

3840 S 103Rd East Ave
225
Tulsa, OK 74146-2438
Phone (918) 664-6944

National Provider Directory

National Provider Directory

Locations

3840 S 103rd East Ave
Ste 225
Tulsa, OK 74146
Phone (918) 664-6944

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063496065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE",
            "address_2": "225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462438",
            "telephone_number": "918-664-6944",
            "fax_number": "918-664-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE",
            "address_2": "225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462438",
            "telephone_number": "918-664-6944",
            "fax_number": "918-664-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE COMMUNITY SERVICES OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-664-6944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.