Santa Fe Residential Care Home

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SANTA FE RESIDENTIAL CARE HOME

Practice address

618 E Canadian Ave
Vinita, OK 74301-3810

Phone

(918) 244-9876

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Vickie Jean Tipton

Title

Owner/Operator

Phone

(918) 244-9876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Frank Tipton Jr., PARA PROFESSIONAL

  • Assisted Living Facility (Mental Illness)
  • Vinita, OK
  • NPI 1083215867
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1114351541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010148",
            "telephone_number": "918-244-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E CANADIAN AVE",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743013810",
            "telephone_number": "918-244-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE RESIDENTIAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "918-244-9876"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sajulga
• Amam Z Saleh, MD
• Preslynn Nycole Samuel
• Michael Shawn Sanders, PHARM.D.
• Trinity Nicole Sanko
• Nazish Sarfraz, M.D.
• Keaton Scott
• Shae Nicole Scott
• Serenity Hospice of Claremore
• Brandon Kieth Setzler

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vinita, OK
• Providers in Vinita, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.