Organization Active NPI

House of Eden Residential Care

  • Respite Care
  • Tulsa, OK
National Provider Identifier
1952011637
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
HOUSE OF EDEN RESIDENTIAL CARE
Practice address
3604 N MLK Jr Blvd
Tulsa, OK 74106-6447
Phone
(539) 867-1531
Fax
(539) 867-1531
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Michael RifeNPI 1356954721
Title
Executive
Phone
(539) 867-1531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

3604 N MLK Jr Blvd
Tulsa, OK 74106-6447

Mailing address

3604 N MLK Jr Blvd
Tulsa, OK 74106-6447

National Provider Directory

National Provider Directory

Locations

3604 N Martin Luther King Jr Blvd
Tulsa, OK 74106
Phone (918) 425-4200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1952011637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 N MLK JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 N MLK JR BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741066447",
            "telephone_number": "539-867-1531",
            "fax_number": "539-867-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF EDEN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "RIFE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "539-867-1531"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.