NPIMap

Organization Active NPI

Arcadia Trails Center for Addiction Recovery

  • Case Manager/Care Coordinator
  • Edmond, OK
National Provider Identifier
1811623747
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ARCADIA TRAILS CENTER FOR ADDICTION RECOVERY
Practice address
4851 Integris Pkwy
Edmond, OK 73034-8864
Phone
(405) 216-2500
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Javier Ley
Title
Executive Director
Phone
(405) 216-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

4851 Integris Pkwy
Edmond, OK 73034-8864

Mailing address

4851 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 216-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1811623747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INTEGRIS PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-216-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 INTEGRIS PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348864",
            "telephone_number": "405-216-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA TRAILS CENTER FOR ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "LEY",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-216-2500"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.