NPIMap

Organization Active NPI

A Path of Care Home Health IV, LLC

Doing business as TenderCare Home Health

  • Home Health Agency
  • Coalgate, OK
National Provider Identifier
1104257534
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7041 Issued in OK
Legal business name
A PATH OF CARE HOME HEALTH IV, LLC
Doing business as
TenderCare Home Health
Practice address
1 N Arno St
Coalgate, OK 74538-2401
Phone
(580) 927-2600
Fax
(580) 927-2815
NPI assigned
Dec 11, 2013
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Mr. John Kelly
Title
Manager of LLC
Phone
(405) 928-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7041 OK Primary

Addresses

Primary practice location

1 N Arno St
Coalgate, OK 74538-2401

Mailing address

2910 Adams Rd
Norman, OK 73069-1023
Phone (405) 928-2727

Other practice location 1

1309 E Jackson St
Hugo, OK 74743-4231
Phone (580) 297-7910

Other practice location 2

601 Highway 70 N
Kingston, OK 73439-8206
Phone (580) 564-0000

Other names 1

  • TenderCare Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410000431 OK Part A Provider - Home Health Agency 9739311564 Practice locations: Hugo, OK; Kingston, OK; Coalgate, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104257534. Details of each certification follow.

Home health agency certification: CCN 377202

Legal name
A PATH OF CARE HOME HEALTH IV LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 1992
Last certification
Jan 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2013 in OK
Enrollment address
1 N Arno St
Ste a
Coalgate, OK 74538-2401

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Path of Care Tendercare Home HealthCCN 377202 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 2, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2077878A Path of Care Tendercare Home Health1 N Arno Street, Suite a, Coalgate, OK 74538Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 N Arno St
Ste A
Coalgate, OK 74538
Phone (580) 927-2600

1309 E Jackson St
Hugo, OK 74743
Phone (580) 297-7910

601 Highway 70 N
Kingston, OK 73439
Phone (580) 369-5592

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Home Health Holdings LLP Organization, Norman, OK 5% Or Greater Indirect Ownership Interest Jan 17, 2014 100%
Innovative Capital Management LLC Organization, Norman, OK LLC, For-profit Operational/Managerial Control Jan 17, 2014 100%
John Kelly Individual Corporate OfficerManager Jan 17, 2014 100%
Operational/Managerial ControlManager of LLC Jan 17, 2014 100%

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1104257534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ADAMS RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691023",
            "telephone_number": "405-928-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N ARNO ST",
            "city": "COALGATE",
            "state": "OK",
            "postal_code": "745382401",
            "telephone_number": "580-927-2600",
            "fax_number": "580-927-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "OK",
            "postal_code": "747434231",
            "country_code": "US",
            "telephone_number": "580-297-7910",
            "fax_number": "580-319-7902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Highway 70 N",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "OK",
            "postal_code": "734398206",
            "country_code": "US",
            "telephone_number": "580-564-0000",
            "fax_number": "580-564-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A PATH OF CARE HOME HEALTH IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER OF LLC",
        "authorized_official_telephone_number": "405-928-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TenderCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TenderCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coalgate, OK

Sources for this page

Verify at the official NPI Registry.