NPIMap

Organization Active NPI

Santa Fe Place LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Moore, OK
National Provider Identifier
1467959866
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH1419 Issued in OK
Legal business name
SANTA FE PLACE LLC
Practice address
1000 S Santa Fe
Building C
Moore, OK 73160-2469
Phone
(405) 793-1643
Fax
(405) 793-1675
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
William Forrest White
Title
Managing Member
Phone
(405) 634-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NH1419 OK Primary

Addresses

Primary practice location

1000 S Santa Fe
Building C
Moore, OK 73160-2469

Mailing address

1000 S Santa Fe
Building C
Moore, OK 73160-2469
Phone (405) 793-1643

Other names 1

  • Santa Fe Tucson House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 37G164

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SANTA FE TUCSON HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 10, 2018
Last certification
Jun 3, 2025
Beds
16
Ownership / control type
Private (proprietary)
Facility address
1000 South Santa Fe
Moore, OK 73160

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Place LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1000 S Santa Fe Ave
Bldg C
Moore, OK 73160
Phone (405) 793-1643

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1467959866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S SANTA FE",
            "address_2": "BUILDING C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602469",
            "telephone_number": "405-793-1643",
            "fax_number": "405-793-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S SANTA FE",
            "address_2": "BUILDING C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602469",
            "telephone_number": "405-793-1643",
            "fax_number": "405-793-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-634-8888"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Tucson House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.