Choices for Life Foster Care, Inc.

Organization Active NPI Community/Behavioral Health Agency · Sapulpa, OK

NPI 1215098389 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215098389
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
K8600134 (OK)
Legal business name
CHOICES FOR LIFE FOSTER CARE, INC.
Practice address
724 S Mission St
Sapulpa, OK 74066-4660
Phone
(918) 248-4340
Fax
(918) 248-4345
NPI assigned
Dec 13, 2006
Organization subpart
No

Authorized official

Name
Miss Douglas Charles Fellrath, ATTORNEY
Title
Ceo
Phone
(405) 751-0800

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Choices for Life (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X K8600134 OK Yes

Addresses

Primary practice location

724 S Mission St
Sapulpa, OK 74066-4660

Mailing address

4101 Perimeter Center Dr
Ste 250
Oklahoma City, OK 73112-2302
Phone (405) 751-0800

Other names

  • Choices For Life Sapulpa Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215098389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PERIMETER CENTER DR",
            "address_2": "STE 250",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122302",
            "telephone_number": "405-751-0800",
            "fax_number": "405-751-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S MISSION ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664660",
            "telephone_number": "918-248-4340",
            "fax_number": "918-248-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR LIFE FOSTER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELLRATH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-751-0800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "K8600134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choices For Life Sapulpa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sapulpa, OK

All providers in Sapulpa, OK · Community/Behavioral Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.