Inca Commnity Services, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

INCA COMMNITY SERVICES, INC.

Doing business as

INCA Career Opportunities

Practice address

301 W 10TH St
Atoka, OK 74525-2800

Phone

(580) 889-7393

Fax

(580) 889-7393

NPI assigned

Mar 29, 2007

Organization subpart

Yes

Parent organization

INCA COMMUNITY SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Kristy Mobbs

Title

Program Director

Phone

(580) 889-7393

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• INCA Career Opportunities Doing business as

Part of

Inca Commnity Services Inc

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1447379284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "301 WEST 10TH STREET",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745250807",
            "telephone_number": "580-889-7393",
            "fax_number": "580-889-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 10TH ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252800",
            "telephone_number": "580-889-7393",
            "fax_number": "580-889-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCA COMMNITY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INCA COMMUNITY SERVICES, INC.",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MOBBS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "580-889-7393",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650F",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650G",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650H",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680650E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INCA Career Opportunities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Howard
• Tara L. Huddleston, M. ED.
• Justin J Humphrey
• Sydney Natosha Humphrey, MSW, LCSW, RPT-S
• Joseph Reed Hutchings, APRN-CNP
• Dakota Alan Ingram
• Kristi Denise Jack
• Mickey Dewayne Jack, BHRS
• Shelly Denise Jack, BHRS CM II
• Shammi Jackson

• PACE Provider Organization in Atoka, OK
• Providers in Atoka, OK by specialty
• PACE Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.