Active NPI
WVL I LP
- Intellectual Disabilities Intermediate Care Facility
- Guthrie, OK
National Provider Identifier
1922230341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- NH4209
- Legal business name
- WVL I LP
- Practice address
- 2102 West Warner
Guthrie, OK 73044 - Phone
- (405) 282-5775
- Fax
- (405) 282-5795
- NPI assigned
- Aug 18, 2009
- 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. Geoff Machtolff
- Title
- Administrator
- Phone
- (405) 282-5775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NH4209 | OK | Primary |
Addresses
Primary practice location
2102 West Warner
Guthrie, OK 73044
Mailing address
PO Box 977
Guthrie, OK 73044
Phone (405) 282-2600
Other names 1
- FAYE'S PLACE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 37G154
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- FAYE'S PLACE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 29, 2009
- Last certification
- Nov 26, 2024
- Beds
- 16
- Ownership / control type
- Private (proprietary)
- Facility address
- 2102 W Warner
Guthrie, OK 73044
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1105213 | Faye'S Place | Certificate of waiver | Sep 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Faye'S Place
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Guthrie, OK
- NPI 1295727337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1922230341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 977",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "73044",
"telephone_number": "405-282-2600",
"fax_number": "405-282-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 WEST WARNER",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "73044",
"telephone_number": "405-282-5775",
"fax_number": "405-282-5795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WVL I LP",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "MACHTOLFF",
"authorized_official_first_name": "GEOFF",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "405-282-5775",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "OK",
"license": "NH4209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAYE'S PLACE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.