Active NPI
Life Recovery Services
- Community/Behavioral Health Agency
- Del City, OK
National Provider Identifier
1871972190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE RECOVERY SERVICES
- Practice address
- 5113 SE 15TH St Ste D
Del City, OK 73115-3952 - Phone
- (580) 304-9770
- NPI assigned
- May 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Cody Shoemaker, MSC, NCGC-2, LADC/MH
- Title
- Executive Director
- Phone
- (580) 304-9770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OK | Primary |
Addresses
Primary practice location
5113 SE 15TH St Ste D
Del City, OK 73115-3952
Mailing address
5113 SE 15TH St Ste D
Del City, OK 73115-3952
Phone (580) 304-9770
National Provider Directory
National Provider DirectoryLocations
5113 SE 15th St
Ste A
Del City, OK 73115
Phone (405) 600-3252
5113 SE 15th St
Ste D
Del City, OK 73115
Phone (580) 304-9770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1871972190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5113 SE 15TH ST STE D",
"city": "DEL CITY",
"state": "OK",
"postal_code": "731153952",
"telephone_number": "580-304-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5113 SE 15TH ST STE D",
"city": "DEL CITY",
"state": "OK",
"postal_code": "731153952",
"telephone_number": "580-304-9770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "SHOEMAKER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "CODY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "580-304-9770",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSC, NCGC-2, LADC/MH"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.