Oklahoma Homes for the Developmentally Disabled, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC

Practice address

4622 W Spring Ridge Road
Enid, OK 73703

Phone

(580) 234-8200

NPI assigned

Apr 13, 2026

Organization subpart

Yes

Parent organization

OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLCAs reported in NPPES

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

Authorized official

Name

Consuela Dolezal

Title

Administrator

Phone

(580) 725-3533

Specialties & licenses 1

Addresses

Tax ID family

Oklahoma Homes for the Developmentally Disabled LLC4 organizations share this tax ID, including this one

Part of

Oklahoma Homes for the Developmentally Disabled LLC

Other organizations with this tax ID 3

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

• Oklahoma Homes for the Developmentally Disabled, LLC

  dba Barry's Bunkhouse

  • Intellectual Disabilities Intermediate Care Facility
  • Enid, OK
  • NPI 1558025916
  NPD tax ID
• Oklahoma Homes for the Developmentally Disabled, LLC

  dba Mattox Hall

  • Intellectual Disabilities Intermediate Care Facility
  • Garber, OK
  • NPI 1588179600
  NPD tax ID
• Oklahoma Homes for the Developmentally Disabled, LLC

  dba Britni's Bungalow

  • Intellectual Disabilities Intermediate Care Facility
  • Enid, OK
  • NPI 1720744808
  NPD tax ID

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.

• Oklahoma Homes for the Developmentally Disabled, LLC

  dba Mattox Hall

  • Intellectual Disabilities Intermediate Care Facility
  • Garber, OK
  • NPI 1588179600
  NPPES parent name

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1851234843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 W SPRING RIDGE ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-234-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 W SPRING RIDGE ROAD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-234-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL",
        "authorized_official_first_name": "CONSUELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-725-3533"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma City Vamc
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• Oklahoma Em-1 Medical Services, PA
• Oklahoma Homes for the Developmentally Disabled, LLC (Barry's Bunkhouse)
• Oklahoma Homes for the Developmentally Disabled, LLC (Britni's Bungalow)
• Oklahoma Oncology and Hematology, P.C. (Cancer Care Associates)
• Oklahoma Play Therapy Counseling Center
• Oncology Consultants of Northwest Oklahoma P.C.
• Sandra Elaine Ortega, MD
• Reta M Osborne, M ED LPC

• Developmental Disabilities Clinic/Center in Enid, OK
• Providers in Enid, OK by specialty
• Developmental Disabilities Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.