Organization Active NPI

United Partners Healthcare 2, Inc.

  • Case Management Agency
  • Stigler, OK
National Provider Identifier
1245579952
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
8007 Issued in OK
Legal business name
UNITED PARTNERS HEALTHCARE 2, INC.
Practice address
903 West Main Street
Stigler, OK 74462
Phone
(918) 967-2593
Fax
(918) 967-4707
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Treasa Lassiter
Title
RN/Administrator
Phone
(918) 617-3056

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 8007 OK Primary
Home Health Agency 251E00000X 8007 OK
Nursing Care Agency 251J00000X 8007 OK

Addresses

Primary practice location

903 West Main Street
Stigler, OK 74462

Mailing address

1000 NE 8TH Street
Stigler, OK 74462
Phone (918) 967-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130522000248 OK Part A Provider - Home Health Agency 2961640446 Practice locations: Stigler, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245579952. Details of each certification follow.

Home health agency certification: CCN 377772

Legal name
UNITED PARTNERS HEALTHCARE 2 INC
Doing business as
PLATINUM HEALTHCARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2013
Last certification
Oct 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 13, 2012 in OK
Enrollment address
1304 NW 7TH Street
Stigler, OK 74462-1554

Care Compare: Home health agency

Medicare Care Compare
Listed as
Platinum HealthcareCCN 377772 · All quality measures
Ownership
Proprietary
Certified
Nov 5, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
United Partners Healthcare 2 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1304 NW 7th St
Stigler, OK 74462
Phone (918) 967-9313

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Treasa Lassiter Individual 5% Or Greater Direct Ownership InterestRN/Administrator Sep 13, 2012 53.3%
Corporate OfficerPresident, Governing Body Member Sep 18, 2012 53.3%
W-2 Managing EmployeeRN/Administrator Sep 13, 2012 53.3%
Scott Lassiter Individual 5% Or Greater Direct Ownership InterestOwner Sep 13, 2012 46.7%
Corporate OfficerVP, Governing Body Member Sep 18, 2012 46.7%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1245579952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NE 8TH STREET",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-2593",
            "fax_number": "918-967-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WEST MAIN STREET",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-2593",
            "fax_number": "918-967-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PARTNERS HEALTHCARE 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "TREASA",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "918-617-3056"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "8007",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "8007",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OK",
            "license": "8007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.