SANTA FE PLACE LLC NPI 1902098437

NPI Information

NPI: 1902098437
Provider Name: SANTA FE PLACE LLC

Doing Business As: SANTA FE SIERRA HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1000 S SANTA FE AVE
A
MOORE, OK
ZIP 73160
Phone: (405) 912-5377
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SANTA FE PLACE LLC is an intermediate care facility mentally retarded in Moore, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SANTA FE PLACE LLC NPI is 1902098437. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Fe Sierra House.

The provider's business location address is:

1000 S SANTA FE AVE
A
MOORE, OK
ZIP 73160-469
Phone: (405) 912-5377
Fax: (405) 912-5382

The provider's authorized official is William Forrest White .
The authorized official title is Managing Member and has the following contact phone number (405) 634-8888.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		NH1416-1416	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37G143	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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