GRACE HOSPICE OF OKLAHOMA LLC (NPI# 1255477030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255477030 |
| Entity Type | Organization |
| Organization Name | GRACE HOSPICE OF OKLAHOMA LLC |
| Practice Address |
6218 S Lewis Ave Tulsa OK 74136-1018 |
| Mailing Address |
Po Box 33234 Tulsa OK 74153-1234 |
| Practice Telephone | 9187447223 |
| Practice Fax Number | 9187445784 |
| Mailing Telephone | 9187447223 |
| Mailing Fax Number | 9187448310 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MR. OTIS HOWARD EVERSOLE III (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9187447223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 4137 | OK | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6400 S Lewis Ave, Suite 1000, Tulsa, OK 74136 | 9187447223 | 9187448310 |
| Street Address |
6218 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336128313 | Innovative Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 6218 S Lewis Ave, Ste 125, Tulsa, OK 74136-1018 | 2006-01-10 |
| 1891393609 | Lhcg Clxx, LLC | Hospice Care, Community Based | 6218 S Lewis Ave, Tulsa, OK 74136-1018 | 2020-10-14 |
| 1437795739 | Andrewe Steven Hansen | Registered Nurse | 6218 S Lewis Ave, Tulsa, OK 74136-1018 | 2019-11-21 |
| 1548505779 | Jennifer Ann Wattoff | Nurse Practitioner | 6218 S Lewis Ave, Ste 110, Tulsa, OK 74136-1018 | 2012-11-28 |
| 1942539135 | Kenneth D. Contrereas | Counselor | 6218 S Lewis Ave, Suite 115, Tulsa, OK 74136-1018 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1255877718 | Traditions Hospice of Tulsa, LLC | Hospice Care, Community Based | 2221 E Skelly Dr, Tulsa, OK 74105-5913 | 2017-01-09 |
| 1962761833 | Millennium Hospice, Inc. | Hospice Care, Community Based | 12129 E. Skelly Dr., Tulsa, OK 74128-2410 | 2012-05-11 |
| 1629337183 | Infinity Life Care LLC | Hospice Care, Community Based | 1216 N Lansing Ave, Suite D, Tulsa, OK 74106-5933 | 2012-05-03 |
| 1376672964 | Allcare Hospice, Inc. | Hospice Care, Community Based | 4608 S Garnett Rd Ste 501, Tulsa, OK 74146 | 2007-03-02 |
| 1255478186 | Infinity Care Hospice LLC | Hospice Care, Community Based | 6914 S Yorktown Ave Ste 115, Tulsa, OK 74136-3900 | 2007-01-31 |
| 1780738484 | Hospice of Northeast Oklahoma, LLC | Hospice Care, Community Based | 9920 E 42nd St, Suite 201, Tulsa, OK 74146-3651 | 2007-01-22 |
| 1942350160 | Zomico, Inc. | Hospice Care, Community Based | 4125 S. Mingo, Tulsa, OK 74146 | 2007-01-11 |
| 1740339548 | Evergreen Hospice LLC | Hospice Care, Community Based | 9902 E 43rd St, Suite B, Tulsa, OK 74146-4756 | 2007-01-09 |
| 1770630055 | Senior World Inc | Hospice Care, Community Based | 124 N Greenwood Ave, Tulsa, OK 74120-1409 | 2007-01-05 |
| Find all providers in TULSA | ||||
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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.