Organization Active NPI

PS&a Case Management & Provider Agency

  • In Home Supportive Care Agency
  • Tulsa, OK
National Provider Identifier
1245549567
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PS&A CASE MANAGEMENT & PROVIDER AGENCY
Practice address
4528 S Sheridan Rd Ste 113
Tulsa, OK 74145-1101
Phone
(918) 282-5363
Fax
(918) 585-7152
NPI assigned
Oct 4, 2010
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Patrice D. Simpkins, MHR / MRC
Title
Ceo / Executive Director
Phone
(918) 282-5363

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4528 S Sheridan Rd Ste 113
Tulsa, OK 74145-1101

Mailing address

4528 S Sheridan Rd Ste 113
Tulsa, OK 74145-1140
Phone (918) 282-5363

National Provider Directory

National Provider Directory

Locations

4528 S Sheridan Rd
Ste 113
Tulsa, OK 74145
Phone (918) 282-5363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1245549567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD STE 113",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451140",
            "telephone_number": "918-282-5363",
            "fax_number": "918-585-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD STE 113",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451101",
            "telephone_number": "918-282-5363",
            "fax_number": "918-585-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS&A CASE MANAGEMENT & PROVIDER AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "SIMPKINS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-282-5363",
        "authorized_official_credential": "MHR / MRC"
    },
    "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2012; 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.