Organization Active NPI

Love Heals Church

  • Substance Abuse Rehabilitation Facility
  • Tulsa, OK
National Provider Identifier
1801156963
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LOVE HEALS CHURCH
Doing business as
Restoring Lives Program
Practice address
3308 W 61St St
Tulsa, OK 74132-1223
Phone
(918) 445-2900
Fax
(918) 445-7711
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dustan EvansNPI 1346500667
Title
Director
Phone
(918) 445-2900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3308 W 61St St
Tulsa, OK 74132-1223

Mailing address

3308 W 61St St
Tulsa, OK 74132-1223
Phone (918) 445-2900

Other names 1

  • Restoring Lives Program Doing business as

National Provider Directory

National Provider Directory

Locations

3308 W 61st St
Tulsa, OK 74132
Phone (918) 269-8742

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1801156963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 W 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321223",
            "telephone_number": "918-445-2900",
            "fax_number": "918-445-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321223",
            "telephone_number": "918-445-2900",
            "fax_number": "918-445-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE HEALS CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DUSTAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-445-2900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoring Lives Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.