GREEN COUNTRY REHABILITATION, LLC (NPI# 1417353152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417353152 |
| Entity Type | Organization |
| Organization Name | GREEN COUNTRY REHABILITATION, LLC |
| Practice Address |
1414 S Denver Ave Tulsa OK 74119-3423 |
| Mailing Address |
17850 Red Oak Cir Collinsville OK 74021-6295 |
| Practice Telephone | 9187127805 |
| Practice Fax Number | 9187127813 |
| Mailing Telephone | 9186716804 |
| Mailing Fax Number | 9185536552 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | MR. RYAN BARRY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9187127805 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 3659 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225436371 | Green Country Rehabilitation, LLC | Occupational Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2014-12-05 |
| Street Address |
1414 S DENVER AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74119-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295098127 | Diane Renee Johnson | Occupational Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2012-06-15 |
| 1578012175 | Patrick Thibodeau | Physical Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2016-09-25 |
| 1245617257 | Bobbi Washburn | Physical Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2015-04-28 |
| 1003203787 | Mary Garland | Physical Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2015-04-21 |
| 1578957718 | Kathleen Carter | Physical Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2015-03-25 |
| 1720476021 | Kendall Gipson | Speech-Language Pathologist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2015-01-08 |
| 1225436371 | Green Country Rehabilitation, LLC | Occupational Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2014-12-05 |
| 1104222991 | Shari Lyn Campanell | Physical Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2014-11-06 |
| 1841696689 | Marie Clinton | Physical Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2014-11-05 |
| 1316343155 | Haley Ekstrom | Physical Therapy Assistant | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| 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.