MY BROTHERS KEEPER SERVICES UNLIMITED, INC. (NPI# 1528239019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528239019 |
| Entity Type | Organization |
| Organization Name | MY BROTHERS KEEPER SERVICES UNLIMITED, INC. |
| Other Organization Name | ANGELIC HOME HEALTH CARE |
| Practice Address |
3790 S Elm Pl Suite 202 Broken Arrow OK 74011-1803 |
| Practice Telephone | 9186223800 |
| Practice Fax Number | 9186221574 |
| Mailing Telephone | 9186223800 |
| Mailing Fax Number | 9186221574 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MR. DAVID NEAL CARSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9186223800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7862 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | P TAN | 377727 | 01 |
| Other Name | Type Code |
|---|---|
| Angelic Home Health Care | Doing Business As Name - Organization |
| Street Address |
3790 S ELM PL SUITE 202 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| 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 |
|---|---|---|---|---|
| 1760032171 | Caring Hearts Home Health, LLC | Home Health | 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 | 2019-09-17 |
| 1720645856 | Covenant Home Healthcare | Home Health | 1115 S Aspen Ave Ste F, Broken Arrow, OK 74012-4859 | 2019-05-23 |
| 1790234417 | Bright Home Care LLC | Home Health | 13028 S 133rd East Ave, Broken Arrow, OK 74011-2340 | 2016-09-22 |
| 1821404187 | L&m Nutrition Solutions | Home Health | 4900 S Redbud Ave, Broken Arrow, OK 74011-4263 | 2014-07-08 |
| 1275883068 | Dreamcatcher Support Systems, LLC | Home Health | 2413 W Canton St, Broken Arrow, OK 74012-7326 | 2012-09-19 |
| 1699074997 | Innovative Senior Care Home Health of Tulsa LLC | Home Health | 1621 S Eucalyptus Ave Ste 102, Broken Arrow, OK 74012-5948 | 2011-03-25 |
| 1245430073 | Dynamicare | Home Health | 1409 E Reno St, Broken Arrow, OK 74012-9380 | 2007-07-19 |
| 1952470551 | Eton Home Healthcare, Inc. | Home Health | 4706 W Urbana St, Broken Arrow, OK 74012-5997 | 2006-11-07 |
| 1013023464 | Oklahoma Healthcare Services, Inc. | Home Health | 3040 N Hemlock Cir, Broken Arrow, OK 74012-1113 | 2006-08-21 |
| 1215985254 | Baptist Village Retirement Communities of Oklahoma, Inc. | Home Health | 2801 N Birch Ave, Broken Arrow, OK 74012-8856 | 2006-05-04 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
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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.