Lake Francis Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

310400000X Issued in OK

Legal business name

LAKE FRANCIS RESIDENTIAL CARE LLC

Practice address

27753 S Welling Rd
Welling, OK 74471-2202

Phone

(918) 422-9907

Fax

(918) 457-5540

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Davetta McIntosh

Title

Ceo

Phone

(918) 457-4221

Specialties & licenses 1

Addresses

Tax ID family

Lake Francis Residential Care Home LLC2 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.

• Lake Francis Residential Care Home, LLC

  • Assisted Living Facility (Mental Illness)
  • Welling, OK
  • NPI 1992835888
  NPD tax ID

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1144557190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27753 S WELLING RD",
            "city": "WELLING",
            "state": "OK",
            "postal_code": "744712202",
            "telephone_number": "918-457-4221",
            "fax_number": "918-457-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27753 S WELLING RD",
            "city": "WELLING",
            "state": "OK",
            "postal_code": "744712202",
            "telephone_number": "918-422-9907",
            "fax_number": "918-457-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FRANCIS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "DAVETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-457-4221"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Kelley, BSW
• Autumn Ketcher
• Anita Sue Kilgore
• Lake Country Healthcare LLC
• Lake Francis Residential Care Home, LLC
• Chelsea Allece Lechner
• Jason Ray Lechner, MS LPC-C
• Susan Dean Littlejohn, BA
• Amanda Jo Long
• Linda Sue McBroom, BA

• Assisted Living Facility in Welling, OK
• Providers in Welling, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.