CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC (NPI# 1700826138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700826138 |
| Entity Type | Organization |
| Organization Name | CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC |
| Other Organization Name | CROSSROADS HOSPICE |
| Practice Address |
1301 Se 59th St Oklahoma City OK 73129-7307 |
| Mailing Address |
10810 E 45th St Suite 300 Tulsa OK 74146-3818 |
| Practice Telephone | 4056329631 |
| Practice Fax Number | 4056329624 |
| Mailing Telephone | 9186276846 |
| Mailing Fax Number | 9186276856 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | CLAYTON LEE FARMER (SECRETARY) |
| Authorized Official Telephone | 9186276846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 4142 | OK | Agencies |
| Other Name | Type Code |
|---|---|
| Crossroads Hospice | Doing Business As Name - Organization |
| Street Address |
1301 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299952 | Randi June Jones | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2020-03-06 |
| 1134679996 | Ebony Wolfe | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-10-05 |
| 1457717928 | Dyanna Johnston | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-01-13 |
| 1689912354 | Linda Ann Byers | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2013-01-30 |
| 1730468927 | Michael Moore | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-08-05 |
| 1881988947 | Cynovah Shante Roberts | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-06-07 |
| 1376742585 | Absentee Shawnee Counseling Services | Rehabilitation, Substance Use Disorder Unit | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-07-17 |
| 1386865517 | James E Barton | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072070 | Advocate Hospice Care Inc. | Hospice Care, Community Based | 200 Ne 28th St Ste 102, Oklahoma City, OK 73105-2802 | 2020-10-27 |
| 1215574843 | 1st Choice Home Health Care & Hospice, Inc | Hospice Care, Community Based | 1211 N Shartel Ave Ste 905b, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1124531348 | Healthcare Innovations of Oklahoma, LLC | Hospice Care, Community Based | 4005 Nw Expressway Ste 605, Oklahoma City, OK 73116-8600 | 2017-11-09 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1295054328 | Epworth At Home LLC | Hospice Care, Community Based | 14901 N Pennyslvania Avenue, Oklahoma City, OK 73134 | 2010-05-28 |
| 1376866939 | Faith Hospice of Se Oklahoma, Inc. | Hospice Care, Community Based | 7504 Broadway Ext, Oklahoma City, OK 73116-9028 | 2010-03-10 |
| 1386883361 | Good Journey Hospice, LLC | Hospice Care, Community Based | 4020 N Lincoln Blvd Ste 100, Oklahoma City, OK 73105-5201 | 2009-02-13 |
| 1891977955 | Northwest Hospice Care, Inc. | Hospice Care, Community Based | 1900 N. Macarthur Blvd., Suite 103, Oklahoma City, OK 73127-2650 | 2007-11-30 |
| 1992985501 | Quality Life Healthcare, LLC | Hospice Care, Community Based | 7845 N Robinson Ave, Suite H-4, Oklahoma City, OK 73116-7739 | 2007-11-12 |
| 1679642086 | Centennial Hospice, LLC | Hospice Care, Community Based | 14003 Quail Springs Pkwy Ste A, Oklahoma City, OK 73134-2602 | 2006-11-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on CROSSROADS HOSPICE OF OKLAHOMA CITY, 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.