Active NPI
Propel Sober Living Homes LLC
- Prevention Professional
- Tulsa, OK
National Provider Identifier
1104747666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- PROPEL SOBER LIVING HOMES LLC
- Practice address
- 2112 W Haskell St
Tulsa, OK 74127-5212 - Phone
- (918) 814-1677
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genean Stuttley
- Title
- Program Operator
- Phone
- (918) 814-1677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | Primary |
Addresses
Primary practice location
2112 W Haskell St
Tulsa, OK 74127-5212
Mailing address
2112 W Haskell St
Tulsa, OK 74127-5212
Phone (918) 814-1677
Other names 1
- Propel Sober Living Homes
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Tulsa, OK
- NPI 1609504026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1104747666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 W HASKELL ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741275212",
"telephone_number": "918-814-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 W HASKELL ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741275212",
"telephone_number": "918-814-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROPEL SOBER LIVING HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "STUTTLEY",
"authorized_official_first_name": "GENEAN",
"authorized_official_title_or_position": "PROGRAM OPERATOR",
"authorized_official_telephone_number": "918-814-1677"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Propel Sober Living Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.