ACCENTRA HOME HEALTHCARE INC (NPI# 1225094014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225094014 |
| Entity Type | Organization |
| Organization Name | ACCENTRA HOME HEALTHCARE INC |
| Other Organization Name | GOOD SHEPHERD HOME HEALTH INC |
| Practice Address |
4350 Will Rogers Pkwy Suite 500 Oklahoma City OK 73108 |
| Practice Telephone | 4054882222 |
| Practice Fax Number | 4059426598 |
| Mailing Telephone | 4054882222 |
| Mailing Fax Number | 4059426598 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | BARRY L WADE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4054882222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7734 | OK | Agencies |
| Other Name | Type Code |
|---|---|
| Good Shepherd Home Health Inc | Former Legal Business Name - Organization |
| Street Address |
4350 WILL ROGERS PKWY SUITE 500 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249719 | Caresource, LLC | Durable Medical Equipment & Medical Supplies | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2005-10-19 |
| 1366925315 | Rachael Holloway | Physical Therapy Assistant | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2018-09-14 |
| 1225496706 | Ambassador Operations LLC | Skilled Nursing Facility | 4350 Will Rogers Pkwy, Suite 300, Oklahoma City, OK 73108-1826 | 2016-01-29 |
| 1093170615 | Richard Lloyd Anderson | Physical Therapist | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-12-25 |
| 1538558705 | Stacey Renee Wells | Occupational Therapy Assistant | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-01-12 |
| 1922496512 | Suzanne Denise Suddath | Occupational Therapy Assistant | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2015-01-05 |
| 1568850741 | Sterling Danielle Barnett | Occupational Therapist | 4350 Will Rogers Pkwy, Suite 600, Oklahoma City, OK 73108-1826 | 2014-12-22 |
| 1558610337 | Brad Jimmie Hayes-milligan | Pharmacist | 4350 Will Rogers Pkwy, Ste 200, Oklahoma City, OK 73108-1826 | 2012-09-07 |
| 1447523386 | Raymond Jay Young Jr. | Pharmacist | 4350 Will Rogers Pkwy, Oklahoma City, OK 73108-1826 | 2012-02-22 |
| 1700116472 | Ana M Stone | Community Health Worker | 4350 Will Rogers Pkwy, Ste 600, Oklahoma City, OK 73108-1826 | 2009-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477714 | Dionna Danielle Weixel | Counselor | 4341 Will Rogers Parkway, Oklahoma City, OK 73108 | 2017-06-18 |
| 1497205389 | Amber Croom | Case Manager/Care Coordinator | 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 | 2016-10-04 |
| 1063837524 | Bobby King | Counselor | 401 46th St., Oklahoma City, OK 73108 | 2014-02-20 |
| 1104167816 | Chad Jeffrey Perry | Physical Therapy Assistant | 238 Quadrum Drive, Oklahoma City, OK 73108 | 2013-03-05 |
| 1295071918 | Avalon Corrections | Case Management | 400 S. May, Oklahoma City, OK 73108 | 2012-12-28 |
| 1164608790 | American Current Care P.a. | Clinic/Center | 200 Quadrum Drive, Oklahoma City, OK 73108 | 2008-01-14 |
| 1790960672 | Fresh Start Counseling Services Inc | Community/Behavioral Health | 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 | 2008-01-09 |
| 1366644577 | Saints Medical Group, LLC | Physician Assistant | 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 | 2007-06-01 |
| 1902027287 | Joel William Corn | Family Medicine | 1506 S Agnew, Okha City, OK 73108 | 2007-05-02 |
| 1851493944 | Good Shepherd Hospice Inc | Hospice Care, Community Based | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 | 2006-09-01 |
| Find all providers in zip 73108 | ||||
| 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 |
|---|---|---|---|---|
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1972151967 | Grand Village In Home Care | Home Health | 1320 N Rockwell Ave Apt B, Oklahoma City, OK 73127-3355 | 2019-09-03 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1194296657 | Odessia Ann Cahon | Home Health | 10804 Quail Plaza Dr Ste 500, Oklahoma City, OK 73120-3113 | 2018-12-10 |
| 1295229607 | Best Choice Hospice Care Inc. | Home Health | 3035 Nw 63rd St Ste 208n, Oklahoma City, OK 73116-3606 | 2018-06-19 |
| 1801301619 | Smith Home Care LLC | Home Health | 4301 Nw 63rd St Ste 309, Oklahoma City, OK 73116-1504 | 2017-12-04 |
| 1851803027 | Abacus Home Health Services,inc. | Home Health | 4501 N Classen Blvd Ste 111, Oklahoma City, OK 73118-4822 | 2017-10-28 |
| 1669984878 | Guarding Angels Home Health LLC | Home Health | 2828 Nw 57th St Ste 304, Oklahoma City, OK 73112-7070 | 2017-10-27 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73108 |
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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.