Provider Demographics
NPI:1710010558
Name:HOMELIFE ASSOCIATION
Entity Type:Organization
Organization Name:HOMELIFE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:M
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-745-1114
Mailing Address - Street 1:5127 S LEWIS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6548
Mailing Address - Country:US
Mailing Address - Phone:918-745-1114
Mailing Address - Fax:918-747-7648
Practice Address - Street 1:5127 S LEWIS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-6548
Practice Address - Country:US
Practice Address - Phone:918-745-1114
Practice Address - Fax:918-747-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
Not Answered347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
Not Answered372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty