Organization Active NPI

Essential Healthcare Services LLC

Doing business as Tielisia A Boyd

  • Home Health Agency
  • Tulsa, OK
National Provider Identifier
1518443548
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESSENTIAL HEALTHCARE SERVICES LLC
Doing business as
Tielisia A Boyd
Tielisia A. Boyd
Practice address
8906 E Skelly Dr
Tulsa, OK 74129-3400
Phone
(918) 301-0210
Fax
(918) 217-1325
NPI assigned
Jul 12, 2018
Last updated
Jul 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Tielisia Ann BoydNPI 1437644788
Title
Administrator
Phone
(918) 301-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8906 E Skelly Dr
Tulsa, OK 74129-3400

Mailing address

8906 E Skelly Dr
Tulsa, OK 74129-3400

Other names 2

  • Tielisia A Boyd Doing business as
  • Tielisia A. Boyd Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930002559 OK Part A Provider - Home Health Agency 2466782750 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518443548. Details of each certification follow.

Home health agency certification: CCN 377870

Legal name
ESSENTIAL HEALTHCARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2021
Last certification
Jun 16, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 16, 2018 in OK
Enrollment address
8906 E Skelly Dr
Ste R
Tulsa, OK 74129-3403

Care Compare: Home health agency

Medicare Care Compare
Listed as
Essential Healthcare Services, LLCCCN 377870 · All quality measures
Ownership
Proprietary
Certified
Jun 16, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
37D2173728Essential Healthcare Services, LLC8906 E Skelly Dr, Ste R, Tulsa, OK 74129Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

8906 E Skelly Dr
Tulsa, OK 74129
Phone (918) 301-0210

8906 E Skelly Dr
Ste R
Tulsa, OK 74129
Phone (918) 301-0210

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Tielisia Boyd Individual 5% Or Greater Direct Ownership Interest Mar 16, 2018 100%
Corporate DirectorOwner / President Board Member Mar 16, 2018 25%
Angela Austin Individual Corporate DirectorSecretary Board Member Mar 16, 2018 25%
W-2 Managing EmployeeSecretary Board Member Mar 16, 2018 100%
Darryl Smith Individual Corporate DirectorVP Board Member Mar 16, 2018 25%
Felicia Jordan Individual Corporate DirectorTreasurer Board Member Mar 16, 2018 25%

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1518443548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741293400",
            "telephone_number": "918-301-0210",
            "fax_number": "918-217-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TIELISIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-301-0209"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tielisia A Boyd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tielisia A. Boyd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.