SANTA FE SIERRA HOUSE
NPI 1902098437
Intermediate Care Facility, Intellectual Disabilities in Moore, OK

Active since August 17, 2007CLIA 37D1069151 · Waiver
1000 S SANTA FE AVE, A, MOORE, OK 73160(405) 912-5377(405) 912-5382 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Santa Fe Sierra House NPPES

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

SANTA FE SIERRA HOUSE (NPI 1902098437) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Moore, Oklahoma and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists William Forrest White, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1902098437
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSANTA FE PLACE LLC
Location Address1000 S SANTA FE AVE, AMoore, OK 73160-2469
Mailing Address1000 S Santa Fe Ave, AMoore, OK 73160-2469
Fax(405) 912-5382
Organization SubpartNo
Authorized OfficialWilliam Forrest WhiteManaging Member · (405) 634-8888
Enumeration DateAugust 17, 2007
NPI 1902098437 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 · NH1416-1416
Definition

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

1000 S SANTA FE AVE, Moore, OK 73160

Other Names 1

Doing Business AsSanta Fe Sierra House

Other Identifiers 1

Medicare PIN37G143OK

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 37D1069151

Santa Fe Sierra House · Moore, OK
Active · expires May 29, 2027
CLIA Number37D1069151
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorJason N. Madden
Laboratory Phone(405) 793-1643
Laboratory LocationSanta Fe Sierra House1000 S Santa Fe Ave, Bldg A, Moore, OK 73160
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902098437, enumerated as an "organization" on August 17, 2007.

The provider is located at 1000 S SANTA FE AVE A MOORE, OK 73160 and the phone number is (405) 912-5377.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.