NPIMap

Organization Active NPI

C&M Abundant Grace, LLC

  • In Home Supportive Care Agency
  • Tulsa, OK
National Provider Identifier
1215167754
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7886 Issued in OK
Legal business name
C&M ABUNDANT GRACE, LLC
Practice address
9717 E 42ND St
Suite 101
Tulsa, OK 74146-3618
Phone
(918) 289-0000
Fax
(918) 289-0202
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Charles Paul, HCA
Title
Operating Officer
Phone
(918) 289-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7886 OK Primary

Addresses

Primary practice location

9717 E 42ND St
Suite 101
Tulsa, OK 74146-3618

Mailing address

9717 E 42ND St
Suite 101
Tulsa, OK 74146-3618
Phone (918) 289-0000

Other names 1

  • Right At Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1215167754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463618",
            "telephone_number": "918-289-0000",
            "fax_number": "918-289-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 E 42ND ST",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463618",
            "telephone_number": "918-289-0000",
            "fax_number": "918-289-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M ABUNDANT GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPERATING OFFICER",
        "authorized_official_telephone_number": "918-289-0000",
        "authorized_official_credential": "HCA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OK",
            "license": "7886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.