Pennington Creek Life House
NPI 1164771366 · Community/Behavioral Health Agency · Tishomingo, OK
Pennington Creek Life House is a Community/Behavioral Health Agency organization in Tishomingo, OK (NPI 1164771366).
Provider details
- NPI number
- 1164771366
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jan Owens, Owner(580) 371-3776
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-04
- Last updated
- 2012-09-04
Frequently asked questions
- What is Pennington Creek Life House's NPI number?
- Pennington Creek Life House's National Provider Identifier (NPI) is 1164771366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennington Creek Life House?
- Pennington Creek Life House is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pennington Creek Life House located?
- Pennington Creek Life House's practice location on file with NPPES is 801 E Main St, Tishomingo, OK 73460-2351.
- What is Pennington Creek Life House's phone number?
- The practice phone number listed in the NPPES registry for Pennington Creek Life House is (580) 371-3776.
- Who is the authorized official for Pennington Creek Life House?
- The authorized official listed on Pennington Creek Life House's NPPES record is Jan Owens, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennington Creek Life House's NPI active?
- Yes — Pennington Creek Life House's NPI (1164771366) is active in the NPPES registry as of the last update on 2012-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.