Organization
BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA INC
Active
Other names
Entrusted Hearts Private Services
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL SHORT (VP PLANNING & PROJECT MANAGEMENT)
(405) 546-1181
Entity
Organization
Contact information
Practice address
5801 N OAKWOOD RD, ENID, OK 73703-9344
(580) 249-2608
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 HOME CARE PROVIDER
OK
01
—
100810750E
STATE WAIVER PROGRAM
OK
Enumeration date
05/18/2006
Last updated
09/26/2025
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