Organization
BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
Active
Other names
Entrusted Hearts Private Services
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL SHORT (VP PLANNING & PROJECT MANAGEMENT)
(405) 942-3000
Entity
Organization
Contact information
Practice address
9700 MASHBURN BLVD, OKLAHOMA CITY, OK 73162-5509
(405) 720-2401
(405) 720-2556
Mailing address
300 JOHNNY BENCH DR STE 400, OKLAHOMA CITY, OK 73104-2470
(405) 724-2872
(405) 942-0018
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7796
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100810750D
DHS SPPC PROVIDER
OK
01
—
100810750E
STATE WAIVER PROVIDER
OK
Enumeration date
05/04/2006
Last updated
09/11/2025
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