INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC (NPI# 1699074997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699074997 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC |
| Other Organization Name | BROOKDALE HOME HEALTH TULSA |
| Practice Address |
1621 S Eucalyptus Ave Ste 102 Broken Arrow OK 74012-5948 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 9182980275 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Home Health Tulsa | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC | 111 Westwood Place, Suite 400, Brentwood, TN 37027 |
| Street Address |
1621 S EUCALYPTUS AVE STE 102 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
| 1528239019 | My Brothers Keeper Services Unlimited, Inc. | Home Health | 3790 S Elm Pl, Suite 202, Broken Arrow, OK 74011-1803 | 2008-03-12 |
| 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 | 74012 |
Please comment or provide details below to improve the information on INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC.
| 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.