SOUTH TULSA COMMUNITY HOUSE
NPI 1649549338
Community/Behavioral Health in Tulsa, OK

Q: What is South Peoria Neighborhood Connection Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 25, 2011

1208 E 58TH ST, TULSA, OK 74105(918) 742-5597(918) 742-4485 Get Directions Write a Review

NPPES record last updated: December 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Tulsa Community House NPPES

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

SOUTH TULSA COMMUNITY HOUSE (NPI 1649549338) is a healthcare organization registered as a community/behavioral health in Tulsa, Oklahoma and active in the NPI registry since December 2011. The organization lists Lanny R Endicott, President, as its authorized official.

NPPES Registry Identity

NPI1649549338

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTH PEORIA NEIGHBORHOOD CONNECTION FOUNDATION

Location Address1208 E 58TH STTulsa, OK 74105-8401

Mailing Address1208 E 58th StTulsa, OK 74105-8401 · (918) 742-5597 · Fax (918) 742-4485

Phone(918) 742-5597

Fax(918) 742-4485

Organization SubpartNo

Authorized OfficialLanny R EndicottPresident · (918) 830-1523

Enumeration DateDecember 25, 2011

✔ NPI 1649549338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Licenses✔ Licensed in OK · 296✔ Licensed in OK · 328

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1208 E 58TH ST, Tulsa, OK 74105

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Other Names 1

Doing Business AsSouth Tulsa Community House

Other Identifiers 2

Medicaid100723970BOK

Medicaid1508994138OK

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 South Peoria Neighborhood Connection Foundation's NPI number?

The NPI number for South Peoria Neighborhood Connection Foundation is 1649549338. It was assigned to this organization in the NPPES registry on December 25, 2011. The provider is doing business as South Tulsa Community House.

Where is South Peoria Neighborhood Connection Foundation located?

South Peoria Neighborhood Connection Foundation is located at 1208 E 58th St, Tulsa, OK 74105. The listed phone number is (918) 742-5597.

What is South Peoria Neighborhood Connection Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for South Peoria Neighborhood Connection Foundation was last updated on December 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.