Cura-HPC, LLC
Organization Active NPI Community Based Hospice Care Agency · Tulsa, OK
NPI 1396758199 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1396758199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 4174 (OK)
- Legal business name
- CURA-HPC, LLC
- Practice address
- 4510 E 31St St
Tulsa, OK 74135-2133 - Phone
- (918) 994-4807
- Fax
- (918) 994-4808
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Lietzke
- Title
- Chief Executive Officer
- Phone
- (918) 622-4799
Owned or controlled facilities with NPI records 1
Corporate family (same tax ID) 1
Member organizations 2
Facilities with the same owner 4
Practitioners 3
-
Jo Alice Dobbs, RN
-
Marty Vaughn Farquharson, CHIROPRACTIC PHYSICI
-
Nimshavathani Thaver, D.O.
Affiliated clinicians 8
-
Drew K Cooper, MD
-
Terry R Horton, M.D.
-
Angela Marie McGuire, D.O.
-
Arthur Wayne Pearson III, M.D.
-
Nathan G Reusser, DO
-
Rodger Brannon Spillars, M.D.
Medicare Care Compare: Hospice
- Listed as
- Cura-HPC, LLC
- Ownership
- For-Profit
- Certified
- Dec 8, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2082672 | Cura-HPC | Certificate of waiver | Aug 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospice certification: CCN 371652
- Legal name
- CURA-HPC, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 8, 2004
- Last certification
- May 11, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 27, 2014 in OK
- Enrollment address
- 4510 E 31St St
Tulsa, OK 74135-2100
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Sullivan HCP Trust |
5% Or Greater Direct Ownership Interest | Sep 1, 2015 | 33.1% |
| Scott D Pilgrim |
5% Or Greater Indirect Ownership Interest |
Aug 1, 2014 | |
| Jonathan Rhodes |
5% Or Greater Indirect Ownership Interest |
Apr 20, 2015 | |
| Corporate Director | Oct 19, 2004 | ||
| W-2 Managing Employee | May 3, 2004 | ||
| Matrix Provider Solutions LLC |
Operational/Managerial Control | Aug 1, 2014 | |
| Kimberly a Kidd |
W-2 Managing Employee |
Aug 1, 2014 | |
| James Frank Sullivan |
5% Or Greater Indirect Ownership Interest |
Aug 1, 2014 | |
| Jeffrey W Young |
5% Or Greater Indirect Ownership Interest |
Apr 20, 2015 | |
| Corporate Director | Oct 19, 2004 | ||
| W-2 Managing Employee | May 3, 2004 | ||
| Jack Byers |
5% Or Greater Indirect Ownership Interest |
Apr 20, 2015 | |
| Corporate Director | Oct 19, 2004 | ||
| W-2 Managing Employee | May 3, 2004 | ||
| Senko Holdings II, LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2015 | 33.1% |
| Mayflower Properties LLC |
5% Or Greater Direct Ownership Interest | Sep 1, 2015 | 33.1% |
| Mark a Lietzke |
5% Or Greater Indirect Ownership Interest |
Apr 20, 2015 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Cura-HPC Eastok, LLC |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jul 14, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019000479 | OK | Part a Provider - Hospice | 3971563461 | Practice locations: Tulsa, OK |
National Provider Directory
- Tax ID family
- Cura-HPC LLC
Locations
611 E Hartford Ave
Ponca City, OK 74601
Phone (580) 213-3333
900 E Hartford Ave
Ponca City, OK 74601
Phone (580) 762-4060
2311 W 7th Pl
Stillwater, OK 74074
Phone (405) 385-5003
215 E 9th Ave
Stillwater, OK 74074
Phone (405) 385-5003
4510 E 31st St
Tulsa, OK 74135
Phone (918) 994-4807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4174 | OK | Yes |
Addresses
Primary practice location
4510 E 31St St
Tulsa, OK 74135-2133
Mailing address
1805 E 15TH St
Tulsa, OK 74104-4610
Phone (918) 622-4799
Other providers in Tulsa, OK
- Michael T Cunningham
- Wanda Kay Cunningham
- Dustin Cupp
- Katherine Cupp
- Cura Telehealth and Wellness, P.a.
- Stephanie Curfman
- Eric Shane Curley
- Judy Ruth Curley
- Rebekah Curran
- Nanette Currey
All providers in Tulsa, OK · Community Based Hospice Care Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.