SUPRA HOME CARE, INC. (NPI# 1306878947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306878947 |
| Entity Type | Organization |
| Organization Name | SUPRA HOME CARE, INC. |
| Other Organization Name | SUPRA HOME CARE OF TULSA |
| Practice Address |
11333 E Pine St Suite 10a Tulsa OK 74116-2023 |
| Mailing Address |
Po Box 6588 Metairie LA 70009-6588 |
| Practice Telephone | 9184931100 |
| Practice Fax Number | 9184373529 |
| Mailing Telephone | 5048375557 |
| Mailing Fax Number | 5048333466 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | LARRY BUTLER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5048375557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7147 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100260570A | 05 |
| Other Name | Type Code |
|---|---|
| SUPRA Home Care of Tulsa | Doing Business As Name - Organization |
| Street Address |
11333 E PINE ST SUITE 10A |
| City | TULSA |
| State | OK |
| Zip Code | 74116-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578727939 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 3900 N. Mingo Rd, Tulsa, OK 74116 | 2008-07-15 |
| 1598831448 | Larry D Laudenback | Chiropractor | 913 N 161st E Ave, Suite E, Tulsa, OK 74116 | 2006-11-24 |
| 1346315546 | Steven A Laudenback | Chiropractor | 913 N 161st East Ave, Ste E, Tulsa, OK 74116 | 2006-11-22 |
| 1588021174 | Peter Semrad | Specialist/Technologist | 3330 N Mingo Rd, Tulsa, OK 74116-1211 | 2016-01-27 |
| 1508984683 | Lori B. Stewart | Preventive Medicine | 2322 N Mingo Rd, Tulsa, OK 74116-1218 | 2007-03-27 |
| 1154862969 | Kaelynn Justyne Lemke | Specialist/Technologist | 11920 E Apache St, Tulsa, OK 74116-1309 | 2017-03-13 |
| 1740480649 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1535 N 107th East Ave, Tulsa, OK 74116-1509 | 2007-07-19 |
| 1811308240 | Jon Clark | Specialist/Technologist | 1003 N 129th East Ave, Tulsa, OK 74116-2131 | 2014-05-20 |
| 1437253176 | David K Miller | Internal Medicine | 15905 E Oklahoma St, Tulsa, OK 74116-2408 | 2006-09-12 |
| 1497986335 | David K Miller Md PC | General Practice | 15905 E Oklahoma St, Tulsa, OK 74116-2408 | 2009-07-27 |
| Find all providers in zip 74116 | ||||
| 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 |
|---|---|---|---|---|
| 1891315461 | Ugaf, LLC | Home Health | 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 | 2020-04-23 |
| 1073145645 | Felicia Antoinette Thompson | Home Health | 2220 N Norfolk Ave, Tulsa, OK 74106-3917 | 2020-02-11 |
| 1346886371 | Andrew Lee Garrean | Home Health | 4148 E 51st St, Tulsa, OK 74135-3609 | 2019-11-25 |
| 1891345021 | New Path Quality Home Healthcare LLC | Home Health | 240 E Apache St Ste 4, Tulsa, OK 74106-3702 | 2019-09-19 |
| 1437709078 | H.f.i. Inc | Home Health | 1831 E 71st St Ste 256, Tulsa, OK 74136-3922 | 2019-09-16 |
| 1740836816 | 1st Aid Home Healthcare LLC | Home Health | 4815 S Sheridan Rd Ste 113, Tulsa, OK 74145-5715 | 2019-08-14 |
| 1467015909 | Number One Services | Home Health | 5525 E 51st St Ste 300, Tulsa, OK 74135-7465 | 2019-04-19 |
| 1174015978 | Reliance Ventures LLC | Home Health | 5350 E 46th St Ste 121, Tulsa, OK 74135-6601 | 2018-06-06 |
| 1467956599 | Mays Housecall Home Health of North Central Ok, LLC | Home Health | 8205 E Regal Ct Ste 107-108, Tulsa, OK 74133-7182 | 2018-03-22 |
| 1144762493 | Kode Medical Services LLC | Home Health | 1330 E 35th Pl, Tulsa, OK 74105-2651 | 2016-11-17 |
| 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.