Specialized Alternatives for Families and Youth of Oklahoma, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF OKLAHOMA, INC.

Practice address

1320 NW Homestead Dr
Suite G
Lawton, OK 73505-5243

Phone

(580) 536-9129

Fax

(580) 536-9132

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marc Bloomingdale, M.S.

Title

Vice President of Operations

Phone

(817) 789-2611

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• SAFY OF OKLAHOMA - LAWTON Doing business as

Tax ID family

Safy of Oklahoma - Lawton5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Safy of Oklahoma - Lawton

  • Foster Care Agency
  • Lawton, OK
  • NPI 1376860551
  NPD tax ID
• Specialized Alternatives for Families and Youth of Oklahoma, Inc

  • Case Management Agency
  • Tulsa, OK
  • NPI 1679028625
  NPD tax ID
• Specialized Alternatives for Families and Youth of Oklahoma, Inc.

  • Case Management Agency
  • Altus, OK
  • NPI 1033364435
  NPD tax ID
• Specialized Alternatives for Families and Youth of Oklahoma, Inc.

  • Case Management Agency
  • Oklahoma City, OK
  • NPI 1104992403
  NPD tax ID

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1467528752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR",
            "address_2": "SUITE G",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055243",
            "telephone_number": "580-536-9129",
            "fax_number": "580-536-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BLOOMINGDALE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "817-789-2611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100710730B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100710730A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100710730C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFY OF OKLAHOMA - LAWTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwestern Pulmonary and Critical Care PLLC
• Southwestern Radiology Affiliates, LLC
• Southwestern Surgical Affiliates, LLC
• Michael Spear, RN
• Kay Louise Specht
• Frank Weston Speer, DO
• Spencer Campbell, M.D., PLLC
• Angela M Spicer
• Kaitlyn Elizabeth Spillers, BHCM II
• Gary Spottedhorse, PT

• Case Management Agency in Lawton, OK
• Providers in Lawton, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.