LEGACY HOMECARE ASSOCIATES, LLC (NPI# 1730488131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730488131 |
| Entity Type | Organization |
| Organization Name | LEGACY HOMECARE ASSOCIATES, LLC |
| Other Organization Name | LIFESPRING HOME CARE |
| Practice Address |
106 N Cedar St Pauls Valley OK 73075-2805 |
| Mailing Address |
2411 Springer Dr Norman OK 73069-3955 |
| Practice Telephone | 4052079496 |
| Practice Fax Number | 4052079701 |
| Mailing Telephone | 4053294545 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | KAREN E VAHLBERG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4053294545 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PTAN | 377757 | 01 |
| Other Name | Type Code |
|---|---|
| LifeSpring Home Care | Doing Business As Name - Organization |
| Street Address |
106 N CEDAR ST |
| City | PAULS VALLEY |
| State | OK |
| Zip Code | 73075-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292490 | Jennifer Lynn Reicosky | Counselor | 513 Willow, Pauls Valley, OK 73075 | 2018-10-25 |
| 1336467299 | Fred Lee Mcginn Iv | Counselor | Atlc, 111 Arrowhead Dr., Pauls Valley, OK 73075 | 2010-05-17 |
| 1447435433 | Amanda Marie Hammonds | Physical Therapist | 37915 Ecr 1530, Pauls Valley, OK 73075 | 2008-01-08 |
| 1255533873 | Ladonna L.l. Lynnell Luckey | Counselor | 111 Arrowhead Drive, Adolescent Transitional Living Center, Pauls Valley, OK 73075 | 2007-06-05 |
| 1144369026 | James Ray Ward | Dentist | 112 N Oak, Pauls Valley, OK 73075 | 2007-02-06 |
| 1700953247 | Stanley Family Chiropractic PC | Chiropractor | 1555 W Grant, Pauls Valley, OK 73075 | 2006-11-29 |
| 1659458412 | Woodlawn, LLC | Respite Care | 1413 S. Chickasha, Pauls Valley, OK 73075 | 2006-11-01 |
| 1689750457 | Dana J Martin Dds PC | Dentist | 1600 Airline Road, Pauls Valley, OK 73075 | 2006-10-27 |
| 1609963800 | State of Oklahoma Dept. of Human Services | Pharmacy | Rt 1 Box 44a, Pauls Valley, OK 73075 | 2006-10-07 |
| 1295828895 | State of Oklahoma Dept. of Human Services | Intermediate Care Facility, Mentally Retarded | Rt. 1 Box 44-a, Pauls Valley, OK 73075 | 2006-10-02 |
| Find all providers in zip 73075 | ||||
| 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 |
|---|---|---|---|---|
| 1235583584 | Garvin County Community Living Center, Inc | Home Health | 421 N Cherry St, Pauls Valley, OK 73075-2607 | 2016-04-22 |
| 1518969740 | Professional Home Care of Garvin County Oklahoma Inc | Home Health | 2510 W Grant Ave, Pauls Valley, OK 73075-9247 | 2005-06-01 |
| 1063474179 | Pauls Valley General Hospital | Home Health | 100 Valley Drive, Pauls Valley, OK 73075-6613 | 2006-04-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PAULS VALLEY |
| Zip Code | 73075 |
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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.