NPIMap

Organization Active NPI

Life Center, Inc.

  • Respite Care
  • Stillwater, OK
National Provider Identifier
1144505488
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
DC6001-6001 Issued in OK
Legal business name
LIFE CENTER, INC.
Practice address
411 W Matthews Ave
Stillwater, OK 74075-7517
Phone
(405) 377-0978
Fax
(405) 372-7726
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Kristy A Moorman, TRS/L
Title
Executive Director
Phone
(405) 377-0978

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Respite Care 385H00000X DC6001-6001 OK Primary

Addresses

Primary practice location

411 W Matthews Ave
Stillwater, OK 74075-7517

Mailing address

411 W Matthews Ave
Stillwater, OK 74075-7517
Phone (405) 377-0978

Other names 1

  • Life Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Adult Day Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1144505488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W MATTHEWS AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757517",
            "telephone_number": "405-377-0978",
            "fax_number": "405-372-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MATTHEWS AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757517",
            "telephone_number": "405-377-0978",
            "fax_number": "405-372-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-377-0978",
        "authorized_official_credential": "TRS/L"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OK",
            "license": "DC6001-6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.