Active NPI
Sand Lily Healthcare, Inc.
- In Home Supportive Care Agency
- Edmond, OK
National Provider Identifier
1194234864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.