NPIMap

Organization Active NPI

Truevine Healthcare LLC

  • Home Health Agency
  • Yukon, OK
National Provider Identifier
1407197049
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC8018 Issued in OK
Legal business name
TRUEVINE HEALTHCARE LLC
Practice address
11221 W Reno Ave Ste 100
Yukon, OK 73099-7569
Phone
(405) 253-4413
Fax
(314) 833-3179
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Yosef Manne
Title
Ceo
Phone
(718) 612-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC8018 OK Primary

Addresses

Primary practice location

11221 W Reno Ave Ste 100
Yukon, OK 73099-7569

Mailing address

11221 W Reno Ave Ste 100
Yukon, OK 73099-7569
Phone (405) 253-4413

Other names 1

  • Med Staff Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130726000494 OK Part A Provider - Home Health Agency 0547401069 Practice locations: Norman, OK

Home health agency certification: CCN 377776

Legal name
TRUEVINE HEALTHCARE LLC
Doing business as
MED-STAFF HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2014
Last certification
Jan 29, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 27, 2013 in OK
Enrollment address
2424 Spring Drive
Suite 300
Norman, OK 73069

Care Compare: Home health agency

Medicare Care Compare
Listed as
Med-Staff Home HealthCCN 377776
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jan 31, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2059447Med-Staff Home Health11221 W Reno, Ste 100, Yukon, OK 73099Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

3411 W Rock Creek Rd
Ste 100
Norman, OK 73072
Phone (405) 253-4413

11221 W Reno Ave
#100
Yukon, OK 73099

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Shawndelle Graham Individual W-2 Managing EmployeeAdministrator Sep 15, 2020
Julie Myers Individual 5% Or Greater Indirect Ownership Interest Sep 15, 2020 6%
Operational/Managerial ControlOwner Feb 28, 2013 100%
Mo Homecare Venture LLC Organization, Saint Louis, MO Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 15, 2020 38%
CDW Investments LLC Organization, Saint Louis, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 15, 2020 18%
Chaim Dov Winter Individual Corporate OfficerManaging Member Sep 15, 2020 100%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Sep 15, 2020 38%
BWJH Services LLC Organization, Saint Louis, MO Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 15, 2020 100%

Facilities with the same owner 39

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

View all 39

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1407197049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 W RENO AVE STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997569",
            "telephone_number": "405-253-4413",
            "fax_number": "314-833-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 W RENO AVE STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997569",
            "telephone_number": "405-253-4413",
            "fax_number": "314-833-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUEVINE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MANNE",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-612-2183"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC8018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Staff Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.