ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC. — NPI 1477659324 (Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in ARDMORE, OK)

CMS-1500 Box 24J / 33a • NPI

1477659324

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

385HR2060X

Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child

Box 32 Service Location & ZIP+4

1902 SHENANDOAH DR, ARDMORE, OK, 73401-1217

✓ 9-Digit EDI 837 ZIP+4 (73401-1217)

Practice Phone & Referral Fax

(580) 223-6226

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477659324 (ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477659324` (NPI-2 Organization / Facility)
Provider / Legal Name	ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.
Plain-English Specialty	Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child NUCC Code: `385HR2060X` (Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1902 SHENANDOAH DR, ARDMORE, OK, 73401-1217
Practice Telephone / Fax	Tel: (580) 223-6226
Administrative Mailing Address	1902 SHENANDOAH DR, ARDMORE, OK, 73401-1217
Enumeration & Last Sync	Enumerated: 2006-09-16 \| CMS Record Updated: 2020-08-22
Authorized Official	STANLEY KITTRELL (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1902 SHENANDOAH DR, ARDMORE, OK, 73401-1217

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Plain-English Taxonomy & CMS Crosswalk (385HR2060X)

What Does Taxonomy Code 385HR2060X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 385HR2060X translates to:
"Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: OK \| License: `DC1001-1001` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC. (NPI #1477659324)