PARKER PLACE HOME 1 LLC. NPI 1366195018

NPI Information

  • NPI: 1366195018
  • Provider Name: PARKER PLACE HOME 1, LLC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 37D2262556
  • Address: 7514 NW SUN BLVD.
    LAWTON, OK
    ZIP 73505
  • Phone: (940) 337-6777

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NPI Details

PARKER PLACE HOME 1, LLC. is an intermediate care facility mentally retarded in Lawton, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PARKER PLACE HOME 1, LLC. NPI is 1366195018. The provider is registered as an organization entity type.

The provider's business location address is:

7514 NW SUN BLVD.
LAWTON, OK
ZIP 73505
Phone: (940) 337-6777

The provider's authorized official is Sally Heather Clement .
The authorized official title is Owner/administrator and has the following contact phone number (940) 337-6777.

The CLIA number assigned to this NPI record is 37D2262556 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2022 and was last updated on 2/2/2022.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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: 3/30/2025

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