SOUL SURVIVOR SUPPORTIVE LIVING FDN
NPI 1679351704
Assisted Living Facility in Midwest City, OK

Active since September 19, 2023
3612 OAK GROVE DR, MIDWEST CITY, OK 73110(405) 863-5578 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Survivor Supportive Living Fdn NPPES

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

SOUL SURVIVOR SUPPORTIVE LIVING FDN (NPI 1679351704) is a healthcare organization registered as an assisted living facility in Midwest City, Oklahoma and active in the NPI registry since September 2023. The organization lists Ella Speed, Founder, as its authorized official.

NPPES Registry Identity

NPI1679351704
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUL SURVIVOR SUPPORTIVE LIVING FDN
Location Address3612 OAK GROVE DRMidwest City, OK 73110-3728
Mailing AddressPo Box 932Bethany, OK 73008-0932 · (405) 863-5578
Organization SubpartNo
Authorized OfficialElla SpeedFounder · (405) 863-5578
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
NPI 1679351704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3612 OAK GROVE DR, Midwest City, OK 73110

Other Providers at the Same Location NPPES

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

Peer Specialist
3612 OAK GROVE DR
MIDWEST CITY, OK 73110

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 Soul Survivor Supportive Living Fdn's NPI number?

The NPI number for Soul Survivor Supportive Living Fdn is 1679351704. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Soul Survivor Supportive Living Fdn located?

Soul Survivor Supportive Living Fdn is located at 3612 Oak Grove Dr, Midwest City, OK 73110. The listed phone number is (405) 863-5578.

What is Soul Survivor Supportive Living Fdn's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Soul Survivor Supportive Living Fdn was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.