INDIAN TERRITORY HOME HEALTH & HOSPICE II, LLC (NPI# 1114932639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114932639 |
| Entity Type | Organization |
| Organization Name | INDIAN TERRITORY HOME HEALTH & HOSPICE II, LLC |
| Other Organization Name | ELARA CARING XXIV |
| Practice Address |
7205 W Gore Blvd Ste B Lawton OK 73505 |
| Mailing Address |
14295 Midway Road Suite 400 Addison TX 75001 |
| Practice Telephone | 8555277473 |
| Practice Fax Number | 5809316920 |
| Mailing Telephone | 8002341866 |
| Mailing Fax Number | 9035378420 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DEBRA MILLER (VICE PRESIDENT OF REGULATORY) |
| Authorized Official Telephone | 8002341866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 100262450A | OK | Agencies |
| Y | 251E00000X | Home Health | 7745 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100262450A | 05 |
| Other Name | Type Code |
|---|---|
| Aspire Home Care II | Doing Business As Name - Organization |
| Aspire Home Care II, a Part of the Elara Caring Network | Doing Business As Name - Organization |
| Elara Caring XXIV | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186604 | Indian Territory Home Health & Hospice II, LLC | Hospice Care, Community Based | 328 S 29th St # 120, Chickasha, OK 73018 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | INDIAN TERRITORY HOME HEALTH & HOSPICE II, LLC | 112 N Broadway, Walters, OK 73572 |
| Street Address |
7205 W GORE BLVD STE B |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649671587 | Southwestern Home Health, Inc. | Home Health | 15 Ne 20th St, Lawton, OK 73507-7406 | 2014-09-10 |
| 1558616342 | Healthcare Innovations of Western Oklahoma, LLC | Home Health | 6202 Nw Oak Ave, Lawton, OK 73505-4323 | 2012-07-17 |
| 1851532188 | Baptist Village Retirement Communities of Oklahoma, Inc | Home Health | 60 Nw Sheridan Rd, Lawton, OK 73505-6338 | 2009-03-17 |
| 1215148010 | Agape' Comprehensive Health Service | Home Health | 207 Sw C Ave, Lawton, OK 73501-4648 | 2007-05-24 |
| 1528183795 | Southwestern Home Health, Inc. | Home Health | 1908 E. Gore Blvd, Ste A, Lawton, OK 73501-6129 | 2007-03-20 |
| 1750490835 | Carter Healthcare of Southwest Oklahoma, LLC | Home Health | 5366 Nw Cache Rd, Suite 2, Lawton, OK 73505-3335 | 2006-08-30 |
| 1245343326 | Quantum Healthcare Inc | Home Health | 6302 Sw Lee Blvd, Lawton, OK 73505-9103 | 2006-08-16 |
| 1033141205 | Gentiva Health Services (usa), LLC | Home Health | 2210 W Gore Blvd, Suite 3, Lawton, OK 73501-3652 | 2006-07-07 |
| 1962431619 | Southwestern Home Health, Inc. | Home Health | 1908 E Gore Blvd, Ste A, Lawton, OK 73501-6128 | 2006-07-02 |
| 1588602171 | Comanche County Hospital Authority | Home Health | 2502 W Gore Blvd, Lawton, OK 73505-6315 | 2006-06-03 |
| Find all providers in LAWTON | ||||
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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.