Active NPI
Accentra Home Healthcare, LLC
Doing business as Choice Health at Home- Kingfisher
- Home Health Agency
- Kingfisher, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7734
- Legal business name
- ACCENTRA HOME HEALTHCARE, LLC
- Doing business as
- Choice Health at Home- Kingfisher
- 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
- Last updated
- Nov 22, 2024
- 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
- Katrina Dawn Lanier
- Title
- Secretary
- Phone
- (855) 485-8273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7734 | OK | Primary |
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 1
- Choice Health at Home- Kingfisher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110913000294 | OK | Part A Provider - Home Health Agency | 0042127607 | Practice locations: Kingfisher, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225094014. Details of each certification follow.
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
- Enrollment address
- 1515 S 7TH St
Ste 400
Kingfisher, OK 73750-4318
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Choice Health at Home - Kingfisher
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 12, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2148175 | Choice Health at Home - Kingfisher | Certificate of waiver | May 3, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Accentra Home Healthcare LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kingfisher, OK
- NPI 1619115896
-
- Home Health Agency
- Kingfisher, OK
- NPI 1912145392
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Choice Health at Home - Chickasha
- Home Health Agency
- Chickasha, OK
- NPI 1295184190
Member Of
Locations
1400 SW Expressway Dr
Ste B
Broken Arrow, OK 74012
Phone (918) 281-8200
1400 N Porter Ave
Ste B
Norman, OK 73071
Phone (405) 701-2414
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Choice Health at Home - Chickasha
- Home Health Agency
- Chickasha, OK
- NPI 1295184190
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 60
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Choice Health at Home Western Oklahoma Home Health
- Home Health Agency
- Oklahoma City, OK
- NPI 1801088489
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home-Western Oklahoma Hospice
- Community Based Hospice Care Agency
- Norman, OK
- NPI 1225213820
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Hospice
- Community Based Hospice Care Agency
- Enid, OK
- NPI 1023606332
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home - Norman
- Home Health Agency
- Norman, OK
- NPI 1407167935
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home - Henryetta Hospice
- Community Based Hospice Care Agency
- Henryetta, OK
- NPI 1679182026
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home - Oklahoma City
- Home Health Agency
- Oklahoma City, OK
- NPI 1871548297
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home- Southeastern Oklahoma Hospice
- Community Based Hospice Care Agency
- Ada, OK
- NPI 1396238143
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health At Home-Central Oklahoma Hospice
- Community Based Hospice Care Agency
- Chickasha, OK
- NPI 1932692787
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home-Sapulpa Tulsa Hospice
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1669964433
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Homecare of Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1770557910
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home - Oklahoma City Hospice
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1801831664
Choice Health at Home Holdings, LLC, Choice Health at Home Intermediate Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
-
dba Choice Health at Home
- Community Based Hospice Care Agency
- Corpus Christi, TX
- NPI 1275644353
Choice Health at Home Holdings, LLC, Choice Health at Home, LLC, Choice Rehab Holdings, Inc., Coltala Choice, LLC, Tcfiii CH Investor LLC, Tcfiii CH LLC, Tcfiii CH SPV LP, Trive Capital Fund III LP
Practitioners & affiliated clinicians
Affiliated clinicians 17
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Hennessey, OK
- NPI 1427256106
Home health agency
-
- Family Nurse Practitioner
- Kingfisher, OK
- NPI 1366001398
Home health agency
-
- Family Nurse Practitioner
- Okarche, OK
- NPI 1104278548
Home health agency
-
- Acute Care Clinical Nurse Specialist
- Kingfisher, OK
- NPI 1063637130
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1225094014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6760 OLD JACKSONVILLE HWY STE 101",
"city": "TYLER",
"state": "TX",
"postal_code": "757030566",
"telephone_number": "855-485-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S 7TH ST STE 400",
"city": "KINGFISHER",
"state": "OK",
"postal_code": "737504318",
"telephone_number": "405-375-6488",
"fax_number": "405-283-4075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCENTRA HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "855-485-8273"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "7734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choice Health at Home- Kingfisher",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kingfisher, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.