Holistic Home Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC8043 Issued in OK

Legal business name

HOLISTIC HOME CARE HOME HEALTH LLC

Practice address

102 S.E. Main St.
Keota, OK 74941

Phone

(918) 966-3356

Fax

(918) 966-3362

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Jeanne Bishop

Title

Administrator/RN

Phone

(918) 966-3356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Home health agency certification: CCN 377788

Legal name

HOLISTIC HOME CARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 20, 2016

Last certification

May 2, 2019

Ownership / control type

Proprietary

Organization structure

OtherProprietary

Incorporated

Aug 27, 2014 in OK

Enrollment address

201 SW Main St
Keota, OK 74941-0001
HHA Branch

Listed as

Holistic Home Care Home Health, LLCCCN 377788

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Mar 20, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 4

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

• John P Agent, DO

  • Internal Medicine Physician
  • Sallisaw, OK
  • NPI 1649217191

  Home health agency

  Care Compare affiliation
• Elizabeth Trudy Davis, APRN-CNP

  • Family Nurse Practitioner
  • Spiro, OK
  • NPI 1033837000

  Home health agency

  Care Compare affiliation
• Christopher William Orendorff, M.D.

  • Family Medicine Physician
  • Sallisaw, OK
  • NPI 1922233618

  Home health agency

  Care Compare affiliation
• Arthur Wayne Pearson III, M.D.

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1811331754

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1144614975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 100",
            "city": "KEOTA",
            "state": "OK",
            "postal_code": "74941",
            "telephone_number": "918-966-3356",
            "fax_number": "918-966-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S.E. MAIN ST.",
            "city": "KEOTA",
            "state": "OK",
            "postal_code": "74941",
            "telephone_number": "918-966-3356",
            "fax_number": "918-966-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HOME CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/RN",
        "authorized_official_telephone_number": "918-966-3356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Raye Brown, COTA/L
• Candice Leann Dominguez
• Jessica Brook Foster, MSN, APRN, FNP-BC
• Vicki Gilstrap
• Loretta J Gist
• April Dawn Hume, M.ED., CCC-SLP
• Rachel Alicia Jaspersen, P.T.
• Keota Public School
• April Louise Lantz
• Sharon Mills

• Home Health Agency in Keota, OK
• Providers in Keota, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.