Santa Fe Place LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

NH1416-1416 Issued in OK

Legal business name

SANTA FE PLACE LLC

Practice address

1000 S Santa Fe Ave
A
Moore, OK 73160-2469

Phone

(405) 912-5377

Fax

(405) 912-5382

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Forrest White

Title

Managing Member

Phone

(405) 634-8888

Specialties & licenses 1

Addresses

Other names 1

• Santa Fe Sierra House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Santa Fe Place LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Santa Fe Cheyenne House

  • Intellectual Disabilities Intermediate Care Facility
  • Moore, OK
  • NPI 1134302573
  NPD tax ID
• Santa Fe Place LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Moore, OK
  • NPI 1467959866
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ford, D.O.

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1366761173
  NPD (past)
• Alexander Fredrick Frank, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1164450573
  NPD (past)
• Kathryn Anne Hall, D.O.

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1376742148
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1902098437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S SANTA FE AVE",
            "address_2": "A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S SANTA FE AVE",
            "address_2": "A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602469",
            "telephone_number": "405-912-5377",
            "fax_number": "405-912-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-634-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "NH1416-1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Sierra House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iftikhar A Sandhu, PA-C
• Kassidy Sani
• Honor N Sankey, LCSW
• Santa Fe Cheyenne House
• Santa Fe Place LLC
• Richard Santelli, D.C.
• Sarfraz Ahmed, PLLC
• Lucille Sargent, SLP
• Leonard Sauls
• Aaliyah Raniya Janae Savare

• Intellectual Disabilities Intermediate Care Facility in Moore, OK
• Providers in Moore, OK by specialty
• Intellectual Disabilities Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.