Active NPI
Chickasha Opportunity Center, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chickasha, OK
National Provider Identifier
1487823290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- CHICKASHA OPPORTUNITY CENTER, INC.
- Practice address
- 1804 W Iowa Ave
Chickasha, OK 73018-2707 - Phone
- (405) 224-4916
- Fax
- (405) 224-4987
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Hannon
- Title
- Executive Director
- Phone
- (405) 224-4916
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | OK | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | OK | Primary | |
| Private Vehicle | 347C00000X | OK | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | OK |
Addresses
Primary practice location
1804 W Iowa Ave
Chickasha, OK 73018-2707
Mailing address
PO Box 685
Chickasha, OK 73023-0685
Phone (405) 224-4916
National Provider Directory
National Provider DirectoryLocations
1804 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-4916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1487823290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 685",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730230685",
"telephone_number": "405-224-4916",
"fax_number": "405-224-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 W IOWA AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182707",
"telephone_number": "405-224-4916",
"fax_number": "405-224-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICKASHA OPPORTUNITY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "405-224-4916",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "OK",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "OK",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.