AUTUMNBRIDGE SOUTHWEST LLC (NPI# 1821079161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079161 |
| Entity Type | Organization |
| Organization Name | AUTUMNBRIDGE SOUTHWEST LLC |
| Other Organization Name | ROSEROCK HEALTHCARE |
| Practice Address |
2642 E 21st St Tulsa OK 74114-1716 |
| Practice Telephone | 9182364866 |
| Practice Fax Number | 9182364867 |
| Mailing Telephone | 9182364866 |
| Mailing Fax Number | 9182364867 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MR. WILLIAM LOWERY SLAUGHTER (CONTROLLER) |
| Authorized Official Telephone | 4056130055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 4196 | OK | Agencies |
| Other Name | Type Code |
|---|---|
| RoseRock Healthcare | Doing Business As Name - Organization |
| Street Address |
2642 E 21ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74114-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673119 | Oklahoma Primary Care Solutions PC | General Practice | 2642 E 21st St, Suite 285, Tulsa, OK 74114-1716 | 2010-12-03 |
| 1417930611 | Sue D Root | Nurse Practitioner | 2642 E 21st St, Suite 285, Tulsa, OK 74114-1789 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| 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.