INTEGRETED COMPREHENSIVE HEALTH CARE (NPI# 1750649935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750649935 |
| Entity Type | Organization |
| Organization Name | INTEGRETED COMPREHENSIVE HEALTH CARE |
| Practice Address |
4801 N Classen Blvd # 73118 Oklahoma City OK 73118-4627 |
| Practice Telephone | 4058437300 |
| Practice Fax Number | 4058431306 |
| Mailing Telephone | 4058437300 |
| Mailing Fax Number | 4058431306 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | MR. SHANNON DEJAUN JACKSON (CASE MANGER) |
| Authorized Official Telephone | 4058301094 |
| Is Organization Subpart | Y |
| Parent Organization Name | ICHC,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | SHIZZ10 | 05 |
| Street Address |
4801 N CLASSEN BLVD # 73118 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1871158048 | Rhiannon Ferguson | Case Management | 9711 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2019-05-03 |
| 1659844892 | Kim Edwards | Case Management | 1600 Ne 8th St, Oklahoma City, OK 73117-2804 | 2019-01-10 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1467977447 | Quinta Ajebekong Atem | Case Management | 2626 N Meridian Ave Apt 101, Oklahoma City, OK 73107-1004 | 2017-08-10 |
| 1730603010 | Rita Akubueze | Case Management | 4312 Nw 50th St Apt 222, Oklahoma City, OK 73112-2287 | 2017-07-28 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1811438799 | Terrance Green | Case Management | 3421 Nw 46th St, Oklahoma City, OK 73112-6101 | 2017-03-13 |
| 1336684950 | Maisha Ford | Case Management | 825 Ne 70th St, Oklahoma City, Oklahoma City, OK 73105-6009 | 2017-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.