Healthcare Provider Details
I. General information
NPI: 1285725994
Provider Name (Legal Business Name): SPECIAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12201 N WESTERN AVE
OKLAHOMA CITY OK
73114-8022
US
IV. Provider business mailing address
12201 N WESTERN AVE
OKLAHOMA CITY OK
73114-8022
US
V. Phone/Fax
- Phone: 405-752-5112
- Fax: 405-752-8963
- Phone: 405-752-5112
- Fax: 405-752-8963
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | K8322664 |
| License Number State | OK |
VIII. Authorized Official
Name:
PAM
JANICE
NEWBY
Title or Position: CEO
Credential:
Phone: 405-752-5112