PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC.


Address: 4815 S Harvard Ave Ste 400, Tulsa, OK 74135-3068
Phone: 9186839400

PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC. (NPI# 1598736712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598736712
Entity Type Organization
Organization Name PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC.
Other Organization Name ELARA CARING XIV
Practice Address 4815 S Harvard Ave Ste 400
Tulsa
OK 74135-3068
Mailing Address 14295 Midway Rd Ste 400
Addison
TX 75001-3678
Practice Telephone 9186839400
Practice Fax Number 9186839444
Mailing Telephone 9035378656
Mailing Fax Number 9035378470
Enumeration Date 2006-01-27
Last Update Date 2020-09-21
Authorized Official Name DEBRA MILLER (VICE PRESIDENT OF REGULATORY)
Authorized Official Telephone 8002341866
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 4155 OK Agencies

Other Provider Identifier

State Issuer Identifier Type Code
OK 200046590A 05

Other Provider/Organization Names

Other Name Type Code
CIMA Hospice, a Part of the Elara Caring Network Doing Business As Name - Organization
Elara Caring XIV Doing Business As Name - Organization

Office Location

Street Address 4815 S HARVARD AVE STE 400
City TULSA
State OK
Zip Code 74135-3068

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
Find all providers in zip 74135

Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TULSA
Zip Code 74135

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Dataset Information

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.

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