NPIMap

Organization Active NPI

A Place Close to Home Adult Day Care

  • Adult Care Home Facility
  • Coweta, OK
National Provider Identifier
1366780280
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
D0076 Issued in OK
Legal business name
A PLACE CLOSE TO HOME ADULT DAY CARE
Practice address
12220 S State Highway 51
Coweta, OK 74429-7169
Phone
(918) 279-0060
Fax
(918) 279-0063
NPI assigned
Jan 28, 2013
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mrs. Kristy Dawn Bebee, ADULT DAY CARE
Title
Administrator
Phone
(918) 279-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X D0076 OK Primary

Addresses

Primary practice location

12220 S State Highway 51
Coweta, OK 74429-7169

Mailing address

12220 S State Highway 51
Coweta, OK 74429-7169
Phone (918) 279-0060

National Provider Directory

National Provider Directory

Locations

12220 S State Highway 51
Coweta, OK 74429
Phone (918) 279-0060

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1366780280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 S STATE HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297169",
            "telephone_number": "918-279-0060",
            "fax_number": "918-279-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 S STATE HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297169",
            "telephone_number": "918-279-0060",
            "fax_number": "918-279-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE CLOSE TO HOME ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "BEBEE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-279-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADULT DAY CARE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OK",
            "license": "D0076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.