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GRACE HOSPICE OF OKLAHOMA LLC NPI 1255477030


NPI Information

NPI: 1255477030
Provider Name: GRACE HOSPICE OF OKLAHOMA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 37D0981325

Address:
6218 S LEWIS AVE
TULSA, OK
ZIP 74136
Phone: (918) 744-7223
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GRACE HOSPICE OF OKLAHOMA LLC is a hospice care community based in Tulsa, OK. GRACE HOSPICE OF OKLAHOMA LLC NPI is 1255477030. The provider is registered as an organization entity type.

The provider's business location address is:

6218 S LEWIS AVE
TULSA, OK
ZIP 74136-018
Phone: (918) 744-7223
Fax: (918) 744-5784

The provider's authorized official is Otis Howard Eversole .
The authorized official title is Executive Director and has the following contact phone number (918) 744-7223.

The CLIA number assigned to this NPI record is 37D0981325 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based4137OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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