Organization Active NPI

Life Recovery Services

  • Community/Behavioral Health Agency
  • Del City, OK
National Provider Identifier
1871972190
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 19, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.