Roosevelt Family Care & Learning Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ROOSEVELT FAMILY CARE & LEARNING CENTER

Practice address

1120 N Eastern Ave Ste 108
Moore, OK 73160-5856

Phone

(601) 331-4463

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roosevelt Granderson

Title

President

Phone

(601) 331-4463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1316708373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N EASTERN AVE STE 108",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605856",
            "telephone_number": "601-331-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N EASTERN AVE STE 108",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605856",
            "telephone_number": "601-331-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT FAMILY CARE & LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "GRANDERSON",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-331-4463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Roland
• Angela L Rolke
• Holly Beth Rolofson, OTR/L
• Destiny Romriell
• Ronald Montgomery Dental Group, PC (Gentle Dental Moore)
• Roosevelt Premier Therapy
• Rachel Rose
• Kristen Lanae Rosenau, CNP
• Roslyn Robinson
• Carson Ross

• Developmentally Disabled Services Day Training Agency in Moore, OK
• Providers in Moore, OK by specialty
• Developmentally Disabled Services Day Training Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.