Choices for Life Foster Care, Inc
Organization Active NPI Community/Behavioral Health Agency · Oklahoma City, OK
NPI 1871651802 · NPPES record last updated Dec 30, 2008
Key facts
- NPI
- 1871651802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- K8600134 (OK)
- Legal business name
- CHOICES FOR LIFE FOSTER CARE, INC
- Practice address
- 4101 Perimeter Center Dr
Suite 250
Oklahoma City, OK 73112-2302 - Phone
- (405) 751-0800
- Fax
- (405) 751-6488
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Douglas Charles Fellrath, ATTORNEY
- Title
- Ceo
- Phone
- (405) 751-0800
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Choices for Life
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | K8600134 | OK | Yes |
Addresses
Primary practice location
4101 Perimeter Center Dr
Suite 250
Oklahoma City, OK 73112-2302
Mailing address
4101 Perimeter Center Dr Ste 250
Oklahoma City, OK 73112-2309
Phone (405) 751-0800
Other names
- Choices For Life
NPI Registry JSON
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1871651802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 PERIMETER CENTER DR STE 250",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122309",
"telephone_number": "405-751-0800",
"fax_number": "405-751-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 PERIMETER CENTER DR",
"address_2": "SUITE 250",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122302",
"telephone_number": "405-751-0800",
"fax_number": "405-751-6488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICES FOR LIFE FOSTER CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "FELLRATH",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-751-0800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ATTORNEY"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "K8600134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choices For Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
- Choice Hospice, Inc
- Choice One Renal Care of Oklahoma, LLC
- Choices Counseling Center
- Choices for Change Behavioral Health and Substance Abuse
- Choices for Life Foster Care Inc.
- Chow-Lik Chong
- David Yung-Ping Chong
- Kelly Chong
- Laura K. Chong
- Michael Chongwa
All providers in Oklahoma City, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.