La Luz Organization

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LA LUZ ORGANIZATION

Practice address

1140 N Hudson Ave
Oklahoma City, OK 73103-3918

Phone

(405) 552-1041

NPI assigned

Aug 20, 2019

Organization subpart

No

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

Authorized official

Name

Jayra Camarena

Title

Executive Director

Phone

(405) 724-8474

Specialties & licenses 3

Addresses

Other names 1

• La Luz Organization Former legal business name

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1770130239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731010864",
            "telephone_number": "405-724-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N HUDSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033918",
            "telephone_number": "405-552-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LUZ ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "CAMARENA",
        "authorized_official_first_name": "JAYRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-724-8474"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Luz Organization",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.