Allied Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALLIED HOSPICE, LLC

Practice address

500 N Poplar Ave
Broken Arrow, OK 74012-2337

Phone

(918) 742-4269

Fax

(918) 742-4493

NPI assigned

Aug 15, 2017

Last updated

Jul 21, 2022By 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

Mrs. Crosby Connor Caughron

Title

Program Director

Phone

(918) 457-8120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104342815. Details of each certification follow.

• CCN 371719 Hospice · Active · Details

Hospice certification: CCN 371719

Legal name

ALLIED HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 15, 2018

Last certification

Jun 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

500 N Poplar Ave
Broken Arrow, OK 74012

Listed as

Allied Hospice, LLCCCN 371719 · All quality measures

Ownership

For-Profit

Certified

Aug 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Chriss B Roberts, D.O.

  • Family Medicine Physician
  • Wagoner, OK
  • NPI 1710979315

  Contracted Managing Employee

  CMS ownership

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.

• Vishal Aggarwal, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1295705663
  NPD (past)

Affiliated clinicians 3

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

• Vishal Aggarwal, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1295705663

  Hospice

  Care Compare affiliation
• Wilson Gregory Knight II, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Tulsa, OK
  • NPI 1376833160

  Hospice

  Care Compare affiliation
• Chriss B Roberts, D.O.

  • Family Medicine Physician
  • Wagoner, OK
  • NPI 1710979315

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104342815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N POPLAR AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122337",
            "telephone_number": "918-742-4269",
            "fax_number": "918-742-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N POPLAR AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122337",
            "telephone_number": "918-742-4269",
            "fax_number": "918-742-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAUGHRON",
        "authorized_official_first_name": "CROSBY",
        "authorized_official_middle_name": "CONNOR",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-457-8120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryttne Allen
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• Alliance Vision Services PLLC
• Kassie A Allison, OTR/L
• Allure Medical Spa of Oklahoma, LLC
• Curtis Todd Alpers, PT OCS CHT
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• Lily Altieri

• Community Based Hospice Care Agency in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.