A-Vow Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A-VOW HOSPICE, INC.

Practice address

2400 N Hemlock Cir
Broken Arrow, OK 74012-1171

Phone

(918) 259-0049

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Magdalene Quaye, RN. BC

Title

Administrator

Phone

(918) 259-0049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371689

Legal name

A-VOW HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 3, 2009

Last certification

Mar 10, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 1, 2006 in OK

Enrollment address

2400 N Hemlock Circle
Broken Arrow, OK 74012-1171

Listed as

A-Vow Hospice, IncCCN 371689

Ownership

For-Profit

Certified

Jun 3, 2009

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

All disclosed owners & managing parties 5

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 2

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

• Darnell E. Blackmon, MD

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1831150655

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Josephine R Otoo, APRN

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1477064335

  5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 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.

• Josephine R Otoo, APRN

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1477064335
  NPD (past)

Affiliated clinicians 4

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

• Todd B Dunaway, MD

  • Neurology Physician
  • Tulsa, OK
  • NPI 1982624268

  Hospice

  Care Compare affiliation
• Eric Flegel, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1346292976

  Hospice

  Care Compare affiliation
• John Kelley Gearhart, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1609853175

  Hospice

  Care Compare affiliation
• Brent Wyatt Hinkle, D.O.

  • Family Medicine Physician
  • Claremore, OK
  • NPI 1447434097

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1164580395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N HEMLOCK CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121171",
            "telephone_number": "918-259-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N HEMLOCK CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121171",
            "telephone_number": "918-259-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-VOW HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "QUAYE",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-259-0049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN. BC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Broken Arrow, OK
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.