HOME RUN HEALTHCARE (NPI# 1568957348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568957348 |
| Entity Type | Organization |
| Organization Name | HOME RUN HEALTHCARE |
| Practice Address |
1425 East Lincoln Road Suite A-3 Idabel OK 74745 |
| Mailing Address |
Po Box 51 Garvin OK 74736-0051 |
| Practice Telephone | 5802127237 |
| Mailing Telephone | 5802127237 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | ASHLEI JOBE (PRESIDENT) |
| Authorized Official Telephone | 5802127237 |
| Authorized Official Credential | NURSE PRACTIONER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1679013676 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HOME RUN HEALTHCARE, LLC | 1991 South Pagosa Street, Aurora, CO 80013 |
| Street Address |
1425 EAST LINCOLN ROAD SUITE A-3 |
| City | IDABEL |
| State | OK |
| Zip Code | 74745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| 1831304922 | Terry Eugene Wallace | Counselor | 104 Ne Avenue A, Idabel, OK 74745 | 2007-05-11 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871148908 | Primary Care At Home LLC | Family Medicine | 9526 S 86th East Ave, Tulsa, OK 74133-6415 | 2019-08-06 |
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1558816850 | Spectrum Healthcare Solutions, Pllc | Family Medicine | 1707 Wheaton Dr, Norman, OK 73071-7319 | 2016-08-17 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1952656530 | Alexander Frank Md, Pllc | Family Medicine | 343205 E 1020 Rd, Meeker, OK 74855-9191 | 2012-07-19 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1316958218 | Eugene Allen Steinberg | Family Medicine | 921 Ne 10th St, Ste 4b113c, Oklahoma City, OK 73104 | 2006-08-10 |
| 1497761159 | Long Term Care Specialists, Inc | Family Medicine | 8900 Silver Hill Dr, Oklahoma City, OK 73132-3316 | 2006-08-01 |
| 1588633028 | John Robert Gray Jr. | Family Medicine | 902 E Pine St, Tulsa, OK 74106-5928 | 2006-03-16 |
| 1316913510 | Rickie Conrady | Family Medicine | 225 Lilac Dr Ste 200, Edmond, OK 73034-7287 | 2006-02-27 |
| Find all providers with the same taxonomy | ||||
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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.