TRADITIONS HOSPICE OF EDMOND, LLC (NPI# 1215008438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215008438 |
| Entity Type | Organization |
| Organization Name | TRADITIONS HOSPICE OF EDMOND, LLC |
| Other Organization Name | TRADITIONS HEALTH OF EDMOND |
| Practice Address |
14324 N Western Ave Edmond OK 73013-1943 |
| Mailing Address |
Po Box 9980 College Station TX 77842-7980 |
| Practice Telephone | 4059369433 |
| Practice Fax Number | 4059369435 |
| Mailing Telephone | 9797046547 |
| Mailing Fax Number | 8669088704 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | GARY BRYAN WOLFE (PRESIDENT & CEO) |
| Authorized Official Telephone | 9797046574 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Physician's Choice Hospice | Doing Business As Name - Organization |
| Traditions Health of Edmond | Doing Business As Name - Organization |
| Street Address |
14324 N WESTERN AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499056 | Physician's Choice In Care | Case Management | 14324 N Western Ave, Edmond, OK 73013-1943 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639521875 | Dhc Faith Holdings, LLC | Hospice Care, Community Based | 16217 N May Ave, Edmond, OK 73013-8871 | 2016-07-12 |
| 1205251352 | Humanity Hospice, LLC | Hospice Care, Community Based | 1109 N Bryant Ave Ste 100, Edmond, OK 73034-3263 | 2014-02-26 |
| 1548691645 | Emerald First Choice Hospice LLC | Hospice Care, Community Based | 925 Nw 164th St Ste B, Edmond, OK 73013 | 2013-11-28 |
| 1801831664 | Sooner Hospice, LLC. | Hospice Care, Community Based | 2028 E Memorial Rd, Edmond, OK 73013 | 2006-06-17 |
| 1922040385 | Waldrich, Inc. | Hospice Care, Community Based | 122 N Bryant Ave, Edmond, OK 73034-6303 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072070 | Advocate Hospice Care Inc. | Hospice Care, Community Based | 200 Ne 28th St Ste 102, Oklahoma City, OK 73105-2802 | 2020-10-27 |
| 1194330811 | Good Shepherd Hospice of Ardmore, LLC | Hospice Care, Community Based | 1505 N Commerce St Ste 204, Ardmore, OK 73401-1859 | 2020-09-10 |
| 1215574843 | 1st Choice Home Health Care & Hospice, Inc | Hospice Care, Community Based | 1211 N Shartel Ave Ste 905b, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1386107274 | Comforting Hands Hospice of Southwest Oklahoma | Hospice Care, Community Based | 15 N 9th St Ste 103, Duncan, OK 73533-4657 | 2019-04-09 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1205313830 | Vialife Hospice LLC | Hospice Care, Community Based | 108 N Adair St Ste C, Pryor, OK 74361-2412 | 2018-07-26 |
| 1932692787 | Kindful Hospice Norman Oklahoma City, LLC | Hospice Care, Community Based | 623 N Porter Ave Ste 200, Norman, OK 73071-6000 | 2018-06-07 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1124531348 | Healthcare Innovations of Oklahoma, LLC | Hospice Care, Community Based | 4005 Nw Expressway Ste 605, Oklahoma City, OK 73116-8600 | 2017-11-09 |
| 1740715267 | Sunny Hospice LLC. | Hospice Care, Community Based | 110 N Chouteau Ave, Suite 2, Chouteau, OK 74337-3209 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRADITIONS HOSPICE OF EDMOND, LLC.
| 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.