NPIMap

Organization Active NPI

SSM Health Businesses

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
National Provider Identifier
1376128199
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SSM HEALTH BUSINESSES
Practice address
601 NW 11TH St Ste 200
Oklahoma City, OK 73103-2415
Phone
(405) 231-3755
Fax
(405) 231-2993
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Lisa Schweitzer, RN
Title
Vice President Patient Care Service
Phone
(608) 778-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

601 NW 11TH St Ste 200
Oklahoma City, OK 73103-2415

Mailing address

601 NW 11TH St Ste 200
Oklahoma City, OK 73103-2415
Phone (405) 231-3755

Other names 1

  • SSM Health at Home Hospice Oklahoma Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013002030 OK Part A Provider - Hospice 8022107051 Practice locations: Oklahoma City, OK

Hospice certification: CCN 371731

Legal name
SSM HEALTH BUSINESSES
Doing business as
SSM HEALTH AT HOME HOSPICE-OKLAHOMA
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 26, 2022
Last certification
May 26, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
May 23, 1984 in MO
Enrollment address
601 NW 11TH St
Ste 200
Oklahoma City, OK 73103-2415

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
SSM Health at Home Hospice - OklahomaCCN 371731
Ownership
Non-Profit
Certified
May 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
SSM Health Businesses10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

520 Ellis Blvd
Jefferson City, MO 65101
Phone (573) 761-7070

605 E Promenade St
#B
Mexico, MO 65265
Phone (573) 582-8850

1211 N Shartel Ave
Ste 1100
Oklahoma City, OK 73103
Phone (405) 231-1200

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Karen D Rewerts Individual Corporate Director May 13, 2021
Waddah Nassar Individual W-2 Managing EmployeeMD; Feb 22, 2021
Gaynell Schieber Anderson Individual Corporate DirectorPhysician Jun 1, 2022
Kari Krueger Individual Corporate Director Sep 1, 2022
Sydney E Haggins Individual Corporate DirectorAssociate Medical Director Feb 1, 2024
Douglas P Long Individual Corporate Director May 13, 2021
Carol Smith Individual W-2 Managing Employee May 13, 2021
Melody J Raby Individual Corporate DirectorMGR. RN Hospice Post Acute Sep 25, 2021
SSM Health Businesses Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 23, 1984
Laura Kaiser Individual Corporate Director May 13, 2021
Steven Smoot Individual Corporate Director May 13, 2021

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health at Home Home Health-WisconsinMadison, WI, CCN 527184 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 29, 2024
SSM Health at Home Home Health- OklahomaOklahoma City, OK, CCN 377035A Home health agency Operational/Managerial Control Apr 1, 2000
SSM Health at Home Hospice IllinoisMount Vernon, IL, CCN 141530 Hospice Operational/Managerial Control Jan 1, 2008

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1376128199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 11TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032415",
            "telephone_number": "405-231-3755",
            "fax_number": "405-231-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 11TH ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032415",
            "telephone_number": "405-231-3755",
            "fax_number": "405-231-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH BUSINESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHWEITZER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT PATIENT CARE SERVICE",
        "authorized_official_telephone_number": "608-778-2146",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health at Home Hospice Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health at Home Hospice Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.