Creative Home Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4143 Issued in OK

Legal business name

CREATIVE HOME HOSPICE INC.

Practice address

2703 N Broadway St
Poteau, OK 74953-5403

Phone

(918) 647-8009

Fax

(918) 647-7041

NPI assigned

Jan 11, 2006

Organization subpart

Yes

Parent organization

PROFESSIONAL CONSULTANT SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Miss Rebecca Coffman

Title

President

Phone

(918) 647-8009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1124007927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530297",
            "telephone_number": "918-647-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535403",
            "telephone_number": "918-647-8009",
            "fax_number": "918-647-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HOME HOSPICE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL CONSULTANT SERVICES, INC",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-647-8009",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna Culpepper
• Cassandra Lee Cummins, MBS LPC
• Kimberlee Rae Curd, PHARMD

• Community Based Hospice Care Agency in Poteau, OK
• Providers in Poteau, 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 Dec 10, 2007; 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.