Active NPI
Home Away From Home Behavioral Health & Wellness Center
- Addiction (Substance Use Disorder) Counselor
- Midwest City, OK
National Provider Identifier
1720901994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- HOME AWAY FROM HOME BEHAVIORAL HEALTH & WELLNESS CENTER
- Practice address
- 9213 NE 10TH St
Midwest City, OK 73130-1317 - Phone
- (405) 455-3342
- Fax
- (405) 931-3204
- NPI assigned
- Aug 3, 2026
- Organization subpart
- Yes
- Parent organization
- HOME AWAY FROM HOME ADULT DAY SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Richardson, ADHC
- Title
- Administrator
- Phone
- (405) 455-3342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
9213 NE 10TH St
Midwest City, OK 73130-1317
Mailing address
9213 NE 10TH St
Midwest City, OK 73130-1317
Phone (405) 455-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201284420A | Medicaid | OK |
National Provider Directory
National Provider DirectoryOwnership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Day Care Clinic/Center
- Midwest City, OK
- NPI 1598389454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Midwest City, OK
- NPI 1568028355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1720901994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9213 NE 10TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731301317",
"telephone_number": "405-455-3342",
"fax_number": "405-931-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9213 NE 10TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731301317",
"telephone_number": "405-455-3342",
"fax_number": "405-931-3204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME AWAY FROM HOME BEHAVIORAL HEALTH & WELLNESS CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOME AWAY FROM HOME ADULT DAY SERVICES LLC",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "405-455-3342",
"authorized_official_credential": "ADHC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201284420A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.