Life Senior Services, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

DC7204-7204 Issued in OK

Legal business name

LIFE SENIOR SERVICES, INC

Practice address

5950 E 31St St
Tulsa, OK 74135-5114

Phone

(918) 664-9000

Fax

(918) 665-0830

NPI assigned

Mar 28, 2007

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Billy Earl Copeland

Title

Chief Financial Officer

Phone

(918) 938-7606

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Adult Day Services Other name

Tax ID family

Adult Day Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Life Senior Services, Inc

  • Case Management Agency
  • Tulsa, OK
  • NPI 1104944453
  NPD tax ID

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1922127323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355114",
            "telephone_number": "918-664-9000",
            "fax_number": "918-665-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355114",
            "telephone_number": "918-664-9000",
            "fax_number": "918-665-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SENIOR SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "918-938-7606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC7211-7211",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC7210-7210",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC7204-7204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100681690B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100681690C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martha Lievano-Stanton, LCSW
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• Life's Seasoning Counseling Service, LLC

• Adult Day Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Adult Day Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.