Directions of Change LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH7217-7217 Issued in OK

Legal business name

DIRECTIONS OF CHANGE LLC

Doing business as

OAK DALE MANOR

Practice address

1025 N Adams Rd
Sand Springs, OK 74063-8110

Phone

(918) 245-5908

Fax

(918) 245-3079

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Patty J Eisenman

Title

Owner/Administrator

Phone

(918) 245-5908

Specialties & licenses 1

Addresses

Other names 1

• OAK DALE MANOR Doing business as

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1194957514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N ADAMS RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740638110",
            "telephone_number": "918-245-5908",
            "fax_number": "918-245-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N ADAMS RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740638110",
            "telephone_number": "918-245-5908",
            "fax_number": "918-245-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTIONS OF CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "EISENMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "918-245-5908",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH7217-7217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK DALE MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Defy Medical LLC
• Michael Douglas Densman
• Chandler Lane Detherage
• Alexia L Dickey, DO
• Constance Rebecca Dimond
• Jordan Matthew Ryan Dixon, DDS
• Traci Dodd, PMHNP
• Savannah Rose Dotson, OTR/L
• Dr. Dale Kasting Dentistry, DMD, PC
• Diana Eaton

• Skilled Nursing Facility in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.