ST. JOHN HOME CARE LLC NPI 1265514145

NPI Information

NPI: 1265514145
Provider Name: ST. JOHN HOME CARE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4720 S HARVARD AVE STE 202
TULSA, OK
ZIP 74135
Phone: (918) 747-7901
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ST. JOHN HOME CARE LLC is a hospice care community based in Tulsa, OK. ST. JOHN HOME CARE LLC NPI is 1265514145. The provider is registered as an organization entity type.

The provider's business location address is:

4720 S HARVARD AVE STE 202
TULSA, OK
ZIP 74135-071
Phone: (918) 747-7901

The provider's authorized official is Sr. M. Therese Gottschalk .
The authorized official title is President/chief Executive Officer and has the following contact phone number (918) 744-2180.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/27/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		2265	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37-1506	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
2	100699400A	MEDICAID	OKLAHOMA
3	000371506001	OTHER	OKLAHOMA	BCBS
4	74104 0000	OTHER	OKLAHOMA	CHAMPUS

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: 4/28/2024

NPI Synchronization or Removal

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