Aspen Place Living Center, LLC
Intermediate Care Facility, Intellectual Disabilities in Weleetka, OK. Organization (NPI-2).
NPI number1104908342
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104908342
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Place Living Center, LLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | NH3209-3209 | OK | Yes |
Other names
- Adkins LP, Dba Aspen Place (Former Legal Business Name)
Practice location
202 E First StWeleetka, OK 74883
Phone 405-452-3271 · Fax 405-452-5154
Mailing address
Po Box 488Weleetka, OK 74880-0488
Phone 405-786-2266 · Fax 405-786-2388
Authorized official
Donna R Simmons
Office Manager
4057862266
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