Accentra Home Healthcare, LLC
Organization Active NPI Home Health Agency · Kingfisher, OK
NPI 1225094014 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1225094014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 7734 (OK)
- Legal business name
- ACCENTRA HOME HEALTHCARE, LLC
- Practice address
- 1515 S 7TH St Ste 400
Kingfisher, OK 73750-4318 - Phone
- (405) 375-6488
- Fax
- (405) 283-4075
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Katrina Dawn Lanier
- Title
- Secretary
- Phone
- (855) 485-8273
Owners & managing parties with NPI records 1
Corporate family (same tax ID) 2
Member of 1
Facilities with the same owner 60
Affiliated clinicians 17
-
Stephen Arthurs, MD
-
Cortney Barrett, NP
-
Ronald Cable, DO
-
Amy R Cavner, APRN-CNP
-
Charles William Ferrell, M.D.
-
Kendra Kay Gore, CNP-FAMILY
-
Allison Diane Henrichs, NURSE PRACTITIONER
-
Rise Lynne Kester, APRN
-
Robin L Matson, MD
-
Sarah Kelleen Menz, CNP
-
Emily Morgan Pollard, M.D.
-
H Thomas Snyder, MD
-
Clinton Riley Strong III, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Choice Health at Home - Kingfisher
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 12, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2148175 | Choice Health at Home - Kingfisher | Certificate of waiver | May 3, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Home health agency certification: CCN 377651
- Legal name
- ACCENTRA HOME HEALTHCARE, LLC
- Doing business as
- CHOICE HEALTH AT HOME - KINGFISHER
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 12, 2002
- Last certification
- Feb 6, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1515 S 7TH St
Ste 400
Kingfisher, OK 73750-4318
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Choice Health at Home Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 100% |
| Katrina Lanier |
Corporate Officer |
Oct 23, 2024 | |
| Tcfiii CH Investor LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 65.43% |
| Sharla Garvin |
W-2 Managing Employee |
Apr 1, 2020 | |
| David Jackson |
5% Or Greater Indirect Ownership Interest |
Oct 23, 2024 | 8.93% |
| Corporate Officer |
Oct 23, 2024 | ||
| Choice Rehab Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 8.93% |
| Katie Elizabeth Sandlin |
W-2 Managing Employee |
Oct 23, 2024 | |
| A Premier Senior Home Care Acquisitions, LLC |
5% Or Greater Direct Ownership Interest | May 1, 2018 | 100% |
| Operational/Managerial Control | May 1, 2018 | 100% | |
| Tcfiii CH LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 65.43% |
| Choice Health at Home, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 100% |
| Coltala Choice, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 16.61% |
| Choice Health at Home Intermediate Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 99.99% |
| Trent Smith |
Operational/Managerial Control |
Jan 1, 2020 | |
| Trive Capital Fund III LP |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 42.12% |
| Tcfiii CH SPV LP |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 23.31% |
| Choice a-Premier Intermediateco, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110913000294 | OK | Part a Provider - Home Health Agency | 0042127607 | Practice locations: Kingfisher, OK |
National Provider Directory
- Tax ID family
- Accentra Home Healthcare LLC
Locations
1400 SW Expressway Dr
Ste B
Broken Arrow, OK 74012
Phone (918) 281-8200
1515 S 7th St
Ste 400
Kingfisher, OK 73750
Phone (405) 375-6488
1400 N Porter Ave
Ste B
Norman, OK 73071
Phone (405) 701-2414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7734 | OK | Yes |
Addresses
Primary practice location
1515 S 7TH St Ste 400
Kingfisher, OK 73750-4318
Mailing address
6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (855) 485-8273
Other names
- Choice Health at Home- Kingfisher
Other providers in Kingfisher, OK
- Accentra Home Healthcare, LLC
- Accentra Home Healthcare, LLC
- Larry Shane Adams
- Air Evac EMS, Inc.
- Kathryn Elise Cornell Anderson
All providers in Kingfisher, OK · Home Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.