NPIMap

Organization Active NPI

Ada Area Youth Shelter Inc.

  • Case Management Agency
  • Ada, OK
National Provider Identifier
1316278252
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
21292 Issued in OK
Legal business name
ADA AREA YOUTH SHELTER INC.
Practice address
901 W 18TH St
Ada, OK 74820-7423
Phone
(580) 436-6130
Fax
(580) 436-6135
NPI assigned
Jan 15, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mrs. Cindy Brown
Title
Behavioral Health Programs Director
Phone
(580) 436-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 21292 OK Primary

Addresses

Primary practice location

901 W 18TH St
Ada, OK 74820-7423

Mailing address

901 W 18TH St
Ada, OK 74820-7423
Phone (580) 436-6130

National Provider Directory

National Provider Directory
Tax ID family
Ada Area Youth Shelter Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1316278252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 18TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207423",
            "telephone_number": "580-436-6130",
            "fax_number": "580-436-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 18TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207423",
            "telephone_number": "580-436-6130",
            "fax_number": "580-436-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA AREA YOUTH SHELTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROGRAMS DIRECTOR",
        "authorized_official_telephone_number": "580-436-6130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "21292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.