Organization Active NPI

Sand Lily Healthcare, Inc.

  • In Home Supportive Care Agency
  • Edmond, OK
National Provider Identifier
1194234864
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAND LILY HEALTHCARE, INC.
Practice address
2120 S Broadway
Edmond, OK 73013-4021
Phone
(405) 639-3939
Fax
(405) 639-2079
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2120 S Broadway
Edmond, OK 73013-4021

Mailing address

2120 S Broadway
Edmond, OK 73013-4021
Phone (405) 639-3939

Other practice location 1

5610 S Memorial Dr Ste A
Tulsa, OK 74145-9013
Phone (208) 401-1400

Other practice location 2

510 E Cherokee St
Wagoner, OK 74467-4710
Phone (918) 240-7078

Other practice location 3

501 S 5th St
Chickasha, OK 73018-3415
Phone (208) 401-1400

Other names 1

  • Excell Private Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

501 S 5th St
Chickasha, OK 73018

2120 S Broadway
Edmond, OK 73013
Phone (405) 203-3736

5610 S Memorial Dr
Ste A
Tulsa, OK 74145

510 E Cherokee St
Wagoner, OK 74467
Phone (918) 240-7078

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1194234864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134021",
            "telephone_number": "405-639-3939",
            "fax_number": "405-639-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134021",
            "telephone_number": "405-639-3939",
            "fax_number": "405-639-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 S Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459013",
            "country_code": "US",
            "telephone_number": "208-401-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674710",
            "country_code": "US",
            "telephone_number": "918-240-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730183415",
            "country_code": "US",
            "telephone_number": "208-401-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAND LILY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excell Private Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.