NPIMap

Organization Active NPI

New Frontiers Icfmr

  • Intellectual Disabilities Intermediate Care Facility
  • Oklahoma City, OK
National Provider Identifier
1164591442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH566 Issued in OK
Legal business name
NEW FRONTIERS ICFMR
Practice address
6810 NW 11TH St
Oklahoma City, OK 73127-4210
Phone
(405) 789-2262
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Don Moore
Title
Executive Director
Phone
(405) 789-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NH566 OK Primary

Addresses

Primary practice location

6810 NW 11TH St
Oklahoma City, OK 73127-4210

Mailing address

1400 N Council Rd
Oklahoma City, OK 73127-4918
Phone (405) 789-2262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164591442. Details of each certification follow.

  • CCN 37G082 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 37G082

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEW FRONTIERS - CHISHOLM
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 2, 1999
Last certification
Dec 13, 2005
Ownership / control type
PRIVATE NON PROFIT
Facility address
6810 NW 11TH
Oklahoma City, OK 73127

National Provider Directory

National Provider Directory
Tax ID family
New Frontiers Icfmr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164591442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COUNCIL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731274918",
            "telephone_number": "405-789-2262",
            "fax_number": "405-789-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 NW 11TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731274210",
            "telephone_number": "405-789-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FRONTIERS ICFMR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-789-2262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.