Organization Active NPI

Doctors Park Home Health, Inc

  • Home Health Agency
  • Norman, OK
National Provider Identifier
1396704599
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7137 Issued in OK
Legal business name
DOCTORS PARK HOME HEALTH, INC
Practice address
517 E. Robinson Street
Norman, OK 73071
Phone
(405) 360-6060
Fax
(405) 360-6098
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Kristi Gavlik
Title
Administrator
Phone
(918) 693-8748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7137 OK Primary

Addresses

Primary practice location

517 E. Robinson Street
Norman, OK 73071

Mailing address

517 E. Robinson Street
Norman, OK 73071
Phone (405) 360-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

609 E Main St
Cushing, OK 74023
Phone (405) 360-6060

106 N Harrison Ave
Ste 205
Cushing, OK 74023
Phone (918) 509-9099

517 E Robinson St
Norman, OK 73071
Phone (405) 360-6060

500 E Robinson St
Ste 700
Norman, OK 73071

2205 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 878-4753

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 11, 2024 Change of OwnershipThis provider was the seller Truheart Home Health LLCCCN 377400, OK, NPI 1558130773

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1396704599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E. ROBINSON STREET",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-360-6060",
            "fax_number": "405-360-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E. ROBINSON STREET",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-360-6060",
            "fax_number": "405-360-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PARK HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "GAVLIK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-693-8748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.