Faith 7 Activity Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FAITH 7 ACTIVITY CENTER

Practice address

301 S Kennedy Ave
Shawnee, OK 74801-7613

Phone

(405) 275-4223

Fax

(405) 273-2994

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald L Pyeatt

Title

Director

Phone

(405) 275-4223

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1386781318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S KENNEDY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017613",
            "telephone_number": "405-275-4223",
            "fax_number": "405-273-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S KENNEDY AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017613",
            "telephone_number": "405-275-4223",
            "fax_number": "405-273-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH 7 ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PYEATT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-275-4223",
        "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": "DDSD WAIVER",
            "identifier": "100632930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDSD WAIVER",
            "identifier": "100632930B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDSD WAIVER",
            "identifier": "100632930E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDSD WAIVER",
            "identifier": "100632930F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Shawnee, OK
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• 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 May 29, 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.