Organization Active NPI

Special Young Adults, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Chickasha, OK
National Provider Identifier
1306013008
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SPECIAL YOUNG ADULTS, INC.
Practice address
826 W Oregon Ave
Chickasha, OK 73018-4423
Phone
(405) 222-1023
Fax
(405) 222-0284
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Dale Osborn
Title
Executive Director
Phone
(405) 222-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

826 W Oregon Ave
Chickasha, OK 73018-4423

Mailing address

826 W Oregon Ave
Chickasha, OK 73018-4423
Phone (405) 222-1023

Other identifiers 1

IdentifierTypeStateIssuer
100683300OtherOKOKLAHOMA HEALTH CARE AUTHORITY

National Provider Directory

National Provider Directory

Locations

826 W Oregon Ave
Chickasha, OK 73018
Phone (405) 222-1023

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1306013008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W OREGON AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730184423",
            "telephone_number": "405-222-1023",
            "fax_number": "405-222-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W OREGON AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730184423",
            "telephone_number": "405-222-1023",
            "fax_number": "405-222-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL YOUNG ADULTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-222-1023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA HEALTH CARE AUTHORITY",
            "identifier": "100683300",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.