DYNASTY CARE SERVICES, LLC (NPI# 1578840302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578840302 |
| Entity Type | Organization |
| Organization Name | DYNASTY CARE SERVICES, LLC |
| Practice Address |
4337 Se 15th St Del City OK 73115-3001 |
| Practice Telephone | 4056091760 |
| Practice Fax Number | 4056091769 |
| Mailing Telephone | 4056091760 |
| Mailing Fax Number | 4056091769 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | STEPHANIE PRICE (PRESIDENT) |
| Authorized Official Telephone | 4054067216 |
| Authorized Official Credential | CM, BHRS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4337 SE 15TH ST |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750601746 | Stephanie Price | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2010-06-02 |
| 1689086936 | Kenneth Hinman | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2014-05-21 |
| 1679984231 | Carmen Delores Butler | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2014-05-16 |
| 1548671811 | Rachel Truely Smith | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2014-05-08 |
| 1982015251 | Andre Ramone Sanders | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2014-05-08 |
| 1427483965 | Rosalind Cravens | Behavioral Analyst | 4337 Se 15th St, Del City, OK 73115-3001 | 2013-09-03 |
| 1871936005 | Jasmine Jiovanni Battle | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2013-04-08 |
| 1164763314 | Ricky Smith | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2013-03-13 |
| 1619218260 | Zach Alan Smith | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2013-03-06 |
| 1164720736 | Carla Jackson-smith | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2011-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| 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 |
|---|---|---|---|---|
| 1477166445 | Legacy Home Health, LLC | Home Health | 1631 N Main St Ste B, Muskogee, OK 74401-4451 | 2020-08-28 |
| 1508488727 | Healing Hearts Home Health and Hospice LLC | Home Health | 1400 N Porter Ave Ste 110, Norman, OK 73071-6604 | 2020-05-11 |
| 1144841891 | Full Motion Physical Therapy | Home Health | 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 | 2020-05-05 |
| 1891315461 | Ugaf, LLC | Home Health | 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 | 2020-04-23 |
| 1437782406 | Uhs of Texoma Inc | Home Health | 372 Bryan Dr Ste 110, Durant, OK 74701-3466 | 2020-02-19 |
| 1073145645 | Felicia Antoinette Thompson | Home Health | 2220 N Norfolk Ave, Tulsa, OK 74106-3917 | 2020-02-11 |
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 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 |
| 1760032171 | Caring Hearts Home Health, LLC | Home Health | 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 | 2019-09-17 |
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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.