Stillwater Group Homes, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

STILLWATER GROUP HOMES, INC.

Practice address

904 W 11TH Ave
Stillwater, OK 74074-5423

Phone

(405) 743-2496

Fax

(405) 743-2497

NPI assigned

Jan 25, 2016

Last updated

Jan 25, 2016By 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

Janet Lynn

Title

Executive Director

Phone

(405) 743-2496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1144687922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 11TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745423",
            "telephone_number": "405-743-2496",
            "fax_number": "405-743-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 11TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745423",
            "telephone_number": "405-743-2496",
            "fax_number": "405-743-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-743-2496"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Developmentally Disabled Services Day Training Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.