Family Hospice, LTD.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

004013 Issued in OK

Legal business name

FAMILY HOSPICE, LTD.

Doing business as

VistaCare

Practice address

5015 N Pennsylvania Ave
Suite 200
Oklahoma City, OK 73112-8891

Phone

(405) 843-4097

Fax

(405) 843-5629

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Dirk Allison

Title

Sr VP & Cfo

Phone

(214) 922-9711

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VistaCare Doing business as

Member of 1

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

• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Laurel Springs, NJ
  • NPI 1992405674

  Member Of

  NPD member

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1144267980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016519",
            "telephone_number": "214-922-9711",
            "fax_number": "214-922-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128891",
            "telephone_number": "405-843-4097",
            "fax_number": "405-843-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOSPICE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DIRK",
        "authorized_official_title_or_position": "SR VP & CFO",
        "authorized_official_telephone_number": "214-922-9711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "004013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. LICENSE#(ADS)",
            "identifier": "004013",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100688470B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VistaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, 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 Mar 10, 2008; 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.