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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 4155 | OK | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200046590A | 05 |
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 |
Street Address |
4815 S HARVARD AVE STE 400 |
City | TULSA |
State | OK |
Zip Code | 74135-3068 |
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 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.