Imperial Concierge Care

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

IMPERIAL CONCIERGE CARE

Practice address

6805 Lancer LN
Oklahoma City, OK 73132-6033

Phone

(405) 619-8577

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lartavia CookNPI 1528609989

Title

Administrator

Phone

(405) 619-8577

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lartavia Cook

  • Adult Companion
  • Oklahoma City, OK
  • NPI 1528609989

  Case Manager/Care Coordinator

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1073154431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 LANCER LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326033",
            "telephone_number": "405-619-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 LANCER LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326033",
            "telephone_number": "405-619-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CONCIERGE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LARTAVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-619-8577"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immediate Care of Oklahoma, LLC
• Immediate Care of Oklahoma, LLC
• Immediate Care of Oklahoma, LLC
• Immediate Smiles
• Stella Imose
• Implant & Prosthodontic Associates, PLLC
• Implant and Oral Surgery of Colorado PLLC
• Impressions Home Health Care
• Impulse Diagnostics LLC
• In Good Hands Childcare Center

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.