Organization Active NPI

Wovenlife, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Oklahoma City, OK
National Provider Identifier
1083854798
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WOVENLIFE, INC.
Practice address
701 NE 13TH St
Oklahoma City, OK 73104-5003
Phone
(405) 239-2525
Fax
(405) 239-2278
NPI assigned
Feb 20, 2009
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Paula Kristin Porter
Title
President & Ceo
Phone
(405) 239-2525

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Adult Day Care Clinic/Center 261QA0600X DC5512 OK
Medical Specialty Clinic/Center 261QM2500X NU
Respite Care 385H00000X DC5512-5512 OK

Addresses

Primary practice location

701 NE 13TH St
Oklahoma City, OK 73104-5003

Mailing address

701 NE 13TH St
Oklahoma City, OK 73104-5003
Phone (405) 239-2525

Other identifiers 2

IdentifierTypeStateIssuer
100683310BMedicaidOK
100683310AMedicaidOK

National Provider Directory

National Provider Directory

Locations

701 NE 13th St
Oklahoma City, OK 73104
Phone (405) 239-2525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1083854798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045003",
            "telephone_number": "405-239-2525",
            "fax_number": "405-239-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045003",
            "telephone_number": "405-239-2525",
            "fax_number": "405-239-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOVENLIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "405-239-2525"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC5512",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OK",
            "license": "DC5512-5512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683310B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.