NPIMap

Organization Active NPI

Loosen Center

  • Intellectual Disabilities Intermediate Care Facility
  • Okarche, OK
National Provider Identifier
1972762235
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
315P00000X Issued in OK
Legal business name
LOOSEN CENTER
Practice address
6TH and Texas
Okarche, OK 73762-0245
Phone
(405) 263-4658
Fax
(405) 263-4718
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. Jim Obrien Sr.
Title
Executive Director
Phone
(405) 263-4658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 315P00000X OK Primary

Addresses

Primary practice location

6TH and Texas
Okarche, OK 73762-0245

Mailing address

PO Box 245
Okarche, OK 73762-0245
Phone (405) 263-4658

Other identifiers 1

IdentifierTypeStateIssuer
100771890AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Center of Family Love6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1972762235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "OKARCHE",
            "state": "OK",
            "postal_code": "737620245",
            "telephone_number": "405-263-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AND TEXAS",
            "city": "OKARCHE",
            "state": "OK",
            "postal_code": "737620245",
            "telephone_number": "405-263-4658",
            "fax_number": "405-263-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOSEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-263-4658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OK",
            "license": "315P00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okarche, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.