Organization Active NPI

WVL I LP

  • Intellectual Disabilities Intermediate Care Facility
  • Guthrie, OK
National Provider Identifier
1922230341
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NH4209 Issued in OK
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

Updated by the provider on Sep 8, 2011

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)CodeLicenseStatePrimary
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 Doing business as

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1105213Faye'S Place2102 W Warner, Guthrie, OK 73044Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Faye'S Place2 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.

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

Verify at the official NPI Registry.