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OAK PLACE
NPI 1114002987
Intermediate Care Facility, Intellectual Disabilities in Wetumka, OK

Active since October 27, 2006CLIA 37D1035878 · Waiver
201 E 2ND ST, WETUMKA, OK 74883(405) 452-3271(405) 452-5154 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Oak Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK PLACE (NPI 1114002987) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wetumka, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Donna R Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114002987
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameOAK PLACE LIVING CENTER, LLC
Location Address201 E 2ND STWetumka, OK 74883-6040
Mailing AddressPo Box 488Weleetka, OK 74880-0488 · (405) 786-2266 · Fax (405) 786-2388
Phone(405) 452-3271
Fax(405) 452-5154
Organization SubpartNo
Authorized OfficialDonna R SimmonsOffice Manager · (405) 380-6671
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1114002987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OK · NH3213-3213
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
201 E 2ND ST, Wetumka, OK 74883
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Other Names 1

Doing Business AsOak Place

Other Identifiers 1

Medicaid200104640AOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1035878

Oak Place Living Center, LLC · Wetumka, OK
Active · expires Jan 12, 2027
CLIA Number37D1035878
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorCrystal S. Freeman
Laboratory Phone(405) 452-3299
Laboratory LocationOak Place Living Center, LLC201 E 2nd Street, Wetumka, OK 74883
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIONEER LIVING CENTER OPS LLC
Intermediate Care Facility, Intellectual Disabilities
201 E 2ND ST
WETUMKA, OK 74883
Hughes County (405) 452-3271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Place Living Center, LLC's NPI number?

The NPI number for Oak Place Living Center, LLC is 1114002987. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Oak Place.

Where is Oak Place Living Center, LLC located?

Oak Place Living Center, LLC is located at 201 E 2nd St, Wetumka, OK 74883. The listed phone number is (405) 452-3271.

What is Oak Place Living Center, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Oak Place Living Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1035878) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Place Living Center, LLC was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.