Organization Active NPI

Calvary Ranch Recovery Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jennings, OK
National Provider Identifier
1225956345
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CALVARY RANCH RECOVERY CENTER INC
Practice address
54030 W 38TH PL S
Jennings, OK 74038
Phone
(407) 562-6374
NPI assigned
Jul 7, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Shawn Lee Downs
Title
Co- President/Ceo
Phone
(407) 562-6374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

54030 W 38TH PL S
Jennings, OK 74038

Mailing address

5308 Oak Meadow Dr
Tulsa, OK 74131-3469
Phone (407) 562-6374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1225956345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 OAK MEADOW DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741313469",
            "telephone_number": "407-562-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54030 W 38TH PL S",
            "city": "JENNINGS",
            "state": "OK",
            "postal_code": "74038",
            "telephone_number": "407-562-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY RANCH RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO- PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-562-6374"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.