SHEPHERD'S CARE HOSPICE OF WAGONER, LLC (NPI# 1912960089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912960089 |
| Entity Type | Organization |
| Organization Name | SHEPHERD'S CARE HOSPICE OF WAGONER, LLC |
| Practice Address |
611 W Cherokee St Wagoner OK 74467-4618 |
| Practice Telephone | 9184854673 |
| Mailing Telephone | 9184854673 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEENA K. BOTTOM (PRESIDENT) |
| Authorized Official Telephone | 9184854673 |
| Authorized Official Credential | RN, MS ,CHN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 4177 | OK | Agencies |
| Street Address |
611 W CHEROKEE ST |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386958312 | Emerald First Choice Hospice LLC | Hospice Care, Community Based | 120 S Yorkshire Blvd, Wagoner, OK 74467 | 2010-08-02 |
| 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 |
| 1194330811 | Good Shepherd Hospice of Ardmore, LLC | Hospice Care, Community Based | 1505 N Commerce St Ste 204, Ardmore, OK 73401-1859 | 2020-09-10 |
| 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 |
| 1386107274 | Comforting Hands Hospice of Southwest Oklahoma | Hospice Care, Community Based | 15 N 9th St Ste 103, Duncan, OK 73533-4657 | 2019-04-09 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1205313830 | Vialife Hospice LLC | Hospice Care, Community Based | 108 N Adair St Ste C, Pryor, OK 74361-2412 | 2018-07-26 |
| 1932692787 | Kindful Hospice Norman Oklahoma City, LLC | Hospice Care, Community Based | 623 N Porter Ave Ste 200, Norman, OK 73071-6000 | 2018-06-07 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1124531348 | Healthcare Innovations of Oklahoma, LLC | Hospice Care, Community Based | 4005 Nw Expressway Ste 605, Oklahoma City, OK 73116-8600 | 2017-11-09 |
| 1740715267 | Sunny Hospice LLC. | Hospice Care, Community Based | 110 N Chouteau Ave, Suite 2, Chouteau, OK 74337-3209 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
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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.