WOODLAND PARK HOME, INC.
NPI 1851513063
Intermediate Care Facility, Intellectual Disabilities in Tulsa, OK

Q: What is Woodland Park Home, Inc.'s NPI number?

The NPI number for Woodland Park Home, Inc. is 1851513063. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Woodland Park Home, Inc.'s specialty?

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

Active since May 03, 2007

5707 S MEMORIAL DR, TULSA, OK 74145(918) 252-2521 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Woodland Park Home, Inc. NPPES

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

WOODLAND PARK HOME, INC. (NPI 1851513063) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tulsa, Oklahoma and active in the NPI registry since May 2007. The organization lists Ed Rucker, President, as its authorized official.

NPPES Registry Identity

NPI1851513063

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameWOODLAND PARK HOME, INC.

Location Address5707 S MEMORIAL DRTulsa, OK 74145-9004

Mailing Address5707 S Memorial DrTulsa, OK 74145-9004 · (918) 252-2521

Phone(918) 252-2521

Organization SubpartNo

Authorized OfficialEd RuckerPresident · (918) 743-7838

Enumeration DateMay 3, 2007

Last NPPES UpdateMay 20, 2011

✔ NPI 1851513063 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 · NH 7232-7232

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

5707 S MEMORIAL DR, Tulsa, OK 74145

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Other Identifiers 1

Medicaid200114440AOK

Other Providers at the Same Location NPPES 2

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

WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C.

Intermediate Care Facility, Intellectual Disabilities

5707 S MEMORIAL DR
TULSA, OK 74145

Tulsa County (918) 743-7838

ANDREA PALMER

Case Manager/Care Coordinator

5707 S MEMORIAL DR
TULSA, OK 74145

Tulsa County (918) 935-3869

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 Woodland Park Home, Inc.'s NPI number?

The NPI number for Woodland Park Home, Inc. is 1851513063. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Woodland Park Home, Inc. located?

Woodland Park Home, Inc. is located at 5707 S Memorial Dr, Tulsa, OK 74145. The listed phone number is (918) 252-2521.

What is Woodland Park Home, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Woodland Park Home, Inc. was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.