OrganizationActive
Pennington Creek Lifehouse
NPI 1962799593 · Case Management Agency · Tishomingo, OK
Pennington Creek Lifehouse is a Case Management Agency organization in Tishomingo, OK (NPI 1962799593).
Provider details
- NPI number
- 1962799593
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jan Owens, Owner/ Therapist(580) 371-3799
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
705 W Main St
Tishomingo, OK 73460-1734
Phone: (580) 371-3799
Fax: (580) 371-2056
Street-level locationGet directions
Mailing address
705 W Main St
Tishomingo, OK 73460-1734
Registry dates
- Enumerated
- 2011-07-04
- Last updated
- 2011-07-04
Frequently asked questions
- What is Pennington Creek Lifehouse's NPI number?
- Pennington Creek Lifehouse's National Provider Identifier (NPI) is 1962799593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennington Creek Lifehouse?
- Pennington Creek Lifehouse is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Pennington Creek Lifehouse located?
- Pennington Creek Lifehouse's practice location on file with NPPES is 705 W Main St, Tishomingo, OK 73460-1734.
- What is Pennington Creek Lifehouse's phone number?
- The practice phone number listed in the NPPES registry for Pennington Creek Lifehouse is (580) 371-3799.
- Who is the authorized official for Pennington Creek Lifehouse?
- The authorized official listed on Pennington Creek Lifehouse's NPPES record is Jan Owens, Owner/ Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennington Creek Lifehouse's NPI active?
- Yes — Pennington Creek Lifehouse's NPI (1962799593) is active in the NPPES registry as of the last update on 2011-07-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.