POTTERS CARE SERVICES, LLC. DBA GRISWOLD HOME CARE OF TULSA (NPI# 1073060109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073060109 |
Entity Type | Organization |
Organization Name | POTTERS CARE SERVICES, LLC. DBA GRISWOLD HOME CARE OF TULSA |
Practice Address |
1843 E 15th St Tulsa OK 74104-4610 |
Practice Telephone | 9185508033 |
Practice Fax Number | 9185124292 |
Mailing Telephone | 9185508033 |
Mailing Fax Number | 9185124292 |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |
Authorized Official Name | THOMAS OLIVER (PRESIDENT) |
Authorized Official Telephone | 9185049577 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | HC8003 | OK | Agencies |
Street Address |
1843 E 15TH ST |
City | TULSA |
State | OK |
Zip Code | 74104-4610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477688497 | Christopher H. Miracle | Social Worker | 1843 E 15th St, Tulsa, OK 74104-4610 | 2007-02-22 |
1497385462 | Harriet Or Williams | Social Worker | 1843 E 15th St, Tulsa, OK 74104-4610 | 2020-01-18 |
1548680200 | Katherine Elizabeth Whitaker | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2014-04-21 |
1780004515 | Clark Edwin Pepper | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2014-04-19 |
1609213495 | Keeper James Johnson Jr. | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2013-06-03 |
1104263151 | Harold Steven Moore | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2013-05-31 |
1548606650 | Selina Ann Riley | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2013-05-15 |
1376989475 | Taleshea Rejoice Johnson | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2013-05-15 |
1659622041 | Seneca Benjamin Sr. | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2012-09-25 |
1376892182 | Joshua Hogan | Counselor | 1843 E 15th St, Tulsa, OK 74104-4610 | 2012-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134741184 | Zawadi Care LLC | In Home Supportive Care | 525 S Main St Ste 311, Tulsa, OK 74103-4509 | 2020-05-13 |
1609400514 | Integrity Nursing Services LLC | In Home Supportive Care | 8906 E Skelly Dr Ste Q, Tulsa, OK 74129-3403 | 2020-02-29 |
1861044372 | Lb Enterprises, LLC | In Home Supportive Care | 4845 S Sheridan Rd Ste 516, Tulsa, OK 74145-5751 | 2019-07-15 |
1578033858 | Ideal Touch Health Care Inc | In Home Supportive Care | 12808 E 37th Pl, Tulsa, OK 74146-3205 | 2018-11-29 |
1750868303 | Carelink of Oklahoma LLC | In Home Supportive Care | 6028 S 66th East Ave Ste 103, Tulsa, OK 74145-9226 | 2018-07-26 |
1871030403 | Michele Scott, Inc | In Home Supportive Care | 6804 S. Canton Ave, Suite 120, Tulsa, OK 74136 | 2017-01-20 |
1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
1497104772 | Safe Homecare, LLC | In Home Supportive Care | 7941 E 51st St, Tulsa, OK 74145-7841 | 2016-06-08 |
1861836199 | Essential Companion Care Services | In Home Supportive Care | 8906 E Skelly Dr, Suite T, Tulsa, OK 74129-3400 | 2013-04-17 |
1548592132 | Neura Care Global of Tulsa LLC | In Home Supportive Care | 1242 S Memorial Dr Apt B4, Tulsa, OK 74112-6010 | 2010-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.