NPIMap

Organization Active NPI

Impressions Home Health Care

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1417030446
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7769 Issued in OK
Legal business name
IMPRESSIONS HOME HEALTH CARE
Practice address
2525 NW Expressway St
#337
Oklahoma City, OK 73112-7203
Phone
(405) 607-2302
Fax
(405) 607-0310
NPI assigned
Oct 23, 2006
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Mrs. Robin Williamson
Title
Owner
Phone
(405) 607-2302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7769 OK Primary

Addresses

Primary practice location

2525 NW Expressway St
#337
Oklahoma City, OK 73112-7203

Mailing address

2525 NW Expressway St
#337
Oklahoma City, OK 73112-7203
Phone (405) 607-2302

Other identifiers 1

IdentifierTypeStateIssuer
20051490AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070112000496 OK Part A Provider - Home Health Agency 6507816980 Practice locations: Enid, OK; Lawton, OK; Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417030446. Details of each certification follow.

Home health agency certification: CCN 377675

Legal name
IMPRESSIONS HOME HEALTH CARE
Doing business as
ABIDING HOME HEALTH OF OKLAHOMA CITY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2004
Last certification
Feb 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 29, 2004 in OK
Enrollment address
4323 NW 63Rd St
Ste 232
Oklahoma City, OK 73116-1546

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abiding Home Health of Oklahoma CityCCN 377675 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 27, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6302 SW Lee Blvd
Bldg A
Lawton, OK 73505
Phone (580) 360-3462

2525 NW Expressway St
Ste 337
Oklahoma City, OK 73112
Phone (405) 607-2302

5929 N May Ave
Ste 204
Oklahoma City, OK 73112
Phone (405) 367-5638

409 N Green Ave
Purcell, OK 73080
Phone (866) 403-0901

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
The Blarney Corporation Organization, West Lake Hills, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 13, 2018 44.57%
Karlee Bell Individual W-2 Managing Employee Apr 1, 2024
Operational/Managerial ControlVP May 12, 2025
Gavin Gray Individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 40.1%
Corporate OfficerCfo Jul 13, 2018 40.1%
Corporate DirectorCfo Jul 13, 2018 40.1%
OtherTrustee for Gaving M Gray Trust Jul 13, 2018 40.1%
Molly Carlos Individual W-2 Managing Employee Jan 17, 2023
Operational/Managerial Control May 12, 2025
Martha Burgess Individual W-2 Managing EmployeeExe Dir/Compliance Officer Jul 13, 2018
Toni Scott Individual W-2 Managing Employee Aug 29, 2022
Operational/Managerial Control May 12, 2025
Brett Bell Individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 44.57%
Corporate OfficerCeo Jul 13, 2018 44.57%
Corporate DirectorCeo Jul 13, 2018 44.57%
W-2 Managing Employee Oct 12, 2006
Barbara Cabrera Individual 5% Or Greater Indirect Ownership Interest Jul 13, 2018 10.86%
Keri S Maschino Individual W-2 Managing Employee Jul 15, 2009
Corporate Management Solutions LLC Organization, West Lake Hills, TX LLC 5% Or Greater Indirect Ownership Interest Jul 13, 2018 33.94%
Gavin N Gray Trust of 2006 Organization, West Lake Hills, TX 5% Or Greater Indirect Ownership Interest Jul 13, 2018 24.5%
G4 Healthcare Holdings LP Organization, West Lake Hills, TX 5% Or Greater Indirect Ownership Interest Jul 13, 2018 44.57%
Primo Healthcare Holdings LLC Organization, West Lake Hills, TX LLC 5% Or Greater Direct Ownership Interest Jul 13, 2018 100%

Facilities with the same owner 3

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

  • Abiding Home Health of Greater Oklahoma LLC
    • Home Health Agency
    • Oklahoma City, OK
    • NPI 1053020677

    Corporate Management Solutions LLC, G4 Healthcare Holdings LP, Gavin N Gray Trust of 2006, Primo Healthcare Holdings LLC, The Blarney Corporation

    CMS ownership
  • Abiding Hospice LLC
    • Community Based Hospice Care Agency
    • Oklahoma City, OK
    • NPI 1205652906

    Corporate Management Solutions LLC, G4 Healthcare Holdings LP, Gavin N Gray Trust of 2006, Primo Healthcare Holdings LLC, The Blarney Corporation

    CMS ownership
  • Abiding Home Health of DFW, LLC
    • Home Health Agency
    • Austin, TX
    • NPI 1811980139

    Corporate Management Solutions LLC, Gavin N Gray Trust of 2006, Primo Healthcare Holdings LLC, The Blarney Corporation

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1417030446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW EXPRESSWAY ST",
            "address_2": "#337",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127203",
            "telephone_number": "405-607-2302",
            "fax_number": "405-607-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW EXPRESSWAY ST",
            "address_2": "#337",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127203",
            "telephone_number": "405-607-2302",
            "fax_number": "405-607-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIONS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-607-2302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20051490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.