INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC (NPI# 1447561741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447561741 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC |
| Other Organization Name | BROOKDALE HOME HEALTH OKC |
| Practice Address |
5600 N May Ave Ste 147 Oklahoma City OK 73112-3973 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 4053414361 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Home Health OKC | Doing Business As Name - Organization |
| Street Address |
5600 N MAY AVE STE 147 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538391214 | Mayflower Oral and Maxillofacial Surgery Pllc | Dentist | 5600 N May Ave, Suite 250, Oklahoma City, OK 73112-3973 | 2009-08-14 |
| 1144763590 | Adam Boyd | Physical Therapy Assistant | 5600 N May Ave, 147, Oklahoma City, OK 73112-3973 | 2016-12-02 |
| 1720338932 | Interim Healthcare of Oklahoma City, Inc. | Home Health | 5600 N May Ave, Suite 145, Oklahoma City, OK 73112-3973 | 2012-09-14 |
| 1437381753 | Tahoe Oral and Maxillofacial Surgery | Dentist | 5600 N May Ave, Suite 250, Oklahoma City, OK 73112-3973 | 2009-08-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1972151967 | Grand Village In Home Care | Home Health | 1320 N Rockwell Ave Apt B, Oklahoma City, OK 73127-3355 | 2019-09-03 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1194296657 | Odessia Ann Cahon | Home Health | 10804 Quail Plaza Dr Ste 500, Oklahoma City, OK 73120-3113 | 2018-12-10 |
| 1295229607 | Best Choice Hospice Care Inc. | Home Health | 3035 Nw 63rd St Ste 208n, Oklahoma City, OK 73116-3606 | 2018-06-19 |
| 1801301619 | Smith Home Care LLC | Home Health | 4301 Nw 63rd St Ste 309, Oklahoma City, OK 73116-1504 | 2017-12-04 |
| 1851803027 | Abacus Home Health Services,inc. | Home Health | 4501 N Classen Blvd Ste 111, Oklahoma City, OK 73118-4822 | 2017-10-28 |
| 1669984878 | Guarding Angels Home Health LLC | Home Health | 2828 Nw 57th St Ste 304, Oklahoma City, OK 73112-7070 | 2017-10-27 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.