Traditions Health Care of Edmond, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRADITIONS HEALTH CARE OF EDMOND, LLC

Doing business as

Traditions Health of Central Oklahoma

Practice address

825 S Kelly Ave Ste 170
Edmond, OK 73003-5535

Phone

(405) 330-5500

NPI assigned

Oct 20, 2022

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Kerndl

Title

Cfo & Secretary

Phone

(979) 704-6547

Specialties & licenses 1

Addresses

Other names 1

• Traditions Health of Central Oklahoma Doing business as

Tax ID family

Traditions Health Care of Edmond LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Traditions Health Care of Edmond, LLC

  dba Traditions Health of Central Oklahoma

  • Home Health Agency
  • Edmond, OK
  • NPI 1780320549
  NPD tax ID
• Traditions Health Care of Edmond, LLC

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1992630180
  NPD tax ID

Locations

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1376260349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S KELLY AVE STE 170",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035535",
            "telephone_number": "405-330-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS HEALTH CARE OF EDMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO & SECRETARY",
        "authorized_official_telephone_number": "979-704-6547"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health of Central Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Health of Central Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Kathleen Townsend, CLD (CBI)
• Angela M Townsend
• Phillip Edward Townsley, DPH
• Devin Trachman, PT
• Tracy Albright LCSW Ladc PLLC
• Traditions Health Care of Edmond, LLC (Traditions Health of Central Oklahoma)
• Traditions Hospice of Edmond, LLC (Traditions Health of Edmond)
• Diamond Tramble
• Ha Le Tran, PHARMD
• Trang Minh Tran, PHARMD

• Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.