Athena Rehbilitation Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

12457565 Issued in OK

Legal business name

ATHENA REHBILITATION SERVICES, LLC

Doing business as

Vizown

Practice address

24962 Okay Rd
Tecumseh, OK 74873-6504

Phone

(405) 550-1750

Fax

(405) 589-8227

NPI assigned

Nov 17, 2015

Last updated

Nov 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Walker

Title

Executive Director

Phone

(405) 550-1750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vizown Doing business as

Tax ID family

Vizown LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Vizown LLC

  • Substance Abuse Rehabilitation Facility
  • Tecumseh, OK
  • NPI 1558783589
  NPD tax ID
• Vizown, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Tecumseh, OK
  • NPI 1649715608
  NPD tax ID

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1780058560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24962 OKAY RD",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748736504",
            "telephone_number": "405-550-1750",
            "fax_number": "405-589-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24962 OKAY RD",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748736504",
            "telephone_number": "405-550-1750",
            "fax_number": "405-589-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA REHBILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-550-1750"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OK",
            "license": "12457565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
            "identifier": "12455678",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vizown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Absentee Shawnee Tribal Health Authority, Inc.
• Absentee Shawnee Tribal Health Authority, Inc.
• Ada Family Medical Center, PLLC (Tecumseh Family Medical Center, PLLC)
• Around the Corner Counseling, LLC
• Avenues Recovery Center of Oklahoma
• Avenues Recovery Center of Oklahoma
• Rachel Anne Barker
• Clarice Renee Bates
• McKenzie Morgan Battershell, APRN-CNP

• Substance Abuse Rehabilitation Facility in Tecumseh, OK
• Providers in Tecumseh, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.