NPIMap

Organization Active NPI

At Home by Choice Inc.

Doing business as Complete Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1497170609
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
AT HOME BY CHOICE INC.
Doing business as
Complete Palliative Care
Practice address
1232 SW 89TH St
Oklahoma City, OK 73139-9105
Phone
(405) 879-3470
Fax
(405) 879-1625
NPI assigned
Feb 25, 2014
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Lola Jane Edwards, RN
Title
Administrator
Phone
(405) 879-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

1232 SW 89TH St
Oklahoma City, OK 73139-9105

Mailing address

1232 SW 89TH St
Oklahoma City, OK 73139-9105
Phone (405) 879-3470

Other names 1

  • Complete Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200729000156 OK Part B Supplier - Clinic/Group Practice 5890110456 Receives reassigned benefits from 8 practitioners
Practice locations: Oklahoma City, OK
O20230901002416 TX Part B Supplier - Clinic/Group Practice 5890110456 Receives reassigned benefits from 5 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

1232 SW 89th St
Oklahoma City, OK 73139
Phone (405) 879-3460

1232 SW 89th St
Ste C
Oklahoma City, OK 73139
Phone (405) 879-3470

1111 Holliday St
Wichita Falls, TX 76301
Phone (888) 948-0088

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1497170609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399105",
            "telephone_number": "405-879-3470",
            "fax_number": "405-879-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399105",
            "telephone_number": "405-879-3470",
            "fax_number": "405-879-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME BY CHOICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-879-3470",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.