PHC HOSPICE, LLC (NPI# 1316504392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316504392 |
| Entity Type | Organization |
| Organization Name | PHC HOSPICE, LLC |
| Practice Address |
2831 Nw 59th St Oklahoma City OK 73112-7005 |
| Practice Telephone | 4056023295 |
| Mailing Telephone | 4056023295 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | BRIAN KEITH BANKS (CEO/OWNER) |
| Authorized Official Telephone | 4056023295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Providence Hospice Care | Doing Business As Name - Organization |
| Street Address |
2831 NW 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093826695 | Phc Health, LLC | Home Health | 2831 Nw 59th St, Oklahoma City, OK 73112-7005 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 | 73112 |
Please comment or provide details below to improve the information on PHC HOSPICE, 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.