NPIMap

Organization Active NPI

Reliant Living Centers of Oklahoma, Inc

  • Social Worker
  • Del City, OK
National Provider Identifier
1720123755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RELIANT LIVING CENTERS OF OKLAHOMA, INC
Practice address
3317 SE 18TH St
Del City, OK 73115-1413
Phone
(405) 677-2421
Fax
(405) 672-2353
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joe J Brennen
Title
Vocational Director
Phone
(405) 677-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3317 SE 18TH St
Del City, OK 73115-1413

Mailing address

3317 SE 18TH St
Del City, OK 73115-1413
Phone (405) 677-2421

National Provider Directory

National Provider Directory
Tax ID family
Bryant Place5 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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 SE 18TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-672-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 SE 18TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731151413",
            "telephone_number": "405-677-2421",
            "fax_number": "405-672-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT LIVING CENTERS OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VOCATIONAL DIRECTOR",
        "authorized_official_telephone_number": "405-677-2421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.