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
National Provider Directory
- Tax ID family
- Choices for Life
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Morgan Leann Chapman
- Michele Cherry
- Brittany Nicole Chiles
- Choices for Life
- Choices for Life Foster Care
- City of Sapulpa
- City of Sapulpa
- Jessee Clark
- Kaley Clayton
- Andrea Clemmer
All providers in Sapulpa, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.