Active NPI
Jake Hill
- Substance Abuse Rehabilitation Facility
- Purcell, OK
National Provider Identifier
1487076857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Practice address
- 23899 State Highway 74
Purcell, OK 73080-6964 - Phone
- (405) 253-3838
- NPI assigned
- Jan 20, 2014
- Last updated
- Jan 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | OK | Primary |
Addresses
Primary practice location
23899 State Highway 74
Purcell, OK 73080-6964
Mailing address
23899 State Highway 74
Purcell, OK 73080-6964
Phone (405) 253-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YUP833152728 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Road to Recovery Foundation Inc | Substance Abuse Rehabilitation Facility | Current | Accepting new patients |
Locations
23899 State Highway 74
Purcell, OK 73080
Phone (405) 253-3838
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rob's Path to Miracles Ranch
- Substance Abuse Rehabilitation Facility
- Purcell, OK
- NPI 1528529674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1487076857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23899 STATE HIGHWAY 74",
"city": "PURCELL",
"state": "OK",
"postal_code": "730806964",
"telephone_number": "405-253-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23899 STATE HIGHWAY 74",
"city": "PURCELL",
"state": "OK",
"postal_code": "730806964",
"telephone_number": "405-253-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JAKE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "YUP833152728",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purcell, OK
- Healthcare Innovations in-Home Services of Purcell LLC
- Helping Hands Home Care, PLLC
- Mary Elizabeth Henschel, MSW, LCSW
- Hernco Healthcare PC (Herndon Family Dentistiry)
- Cameron Eugene Herrin, O.D.
- Jacob Hollenbeck, DO
- Home Healthcare Resolved LLC
- Lura Ann Howell-White, L.B.P.
- Inspire Wellness Clinic & Med Spa, PLLC
- J & J Investments LLC (United Discount Drug #2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.