Organization Active NPI

Professional Home Hospice of Muskogee, Inc.

  • Community Based Hospice Care Agency
  • Tulsa, OK
National Provider Identifier
1598736712
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4155 Issued in OK
Legal business name
PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC.
Practice address
4815 S Harvard Ave Ste 300a
Tulsa, OK 74135-3055
Phone
(918) 683-9400
Fax
(918) 351-7232
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Angel Stansbury
Title
Dir License & Regulatory Compliance
Phone
(337) 344-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4155 OK Primary

Addresses

Primary practice location

4815 S Harvard Ave Ste 300a
Tulsa, OK 74135-3055

Mailing address

3010 Lyndon B Johnson Fwy Ste 1100
Dallas, TX 75234-2712
Phone (800) 379-1600

Other identifiers 1

IdentifierTypeStateIssuer
200046590AMedicaidOK

Other names 1

  • Elara Caring XIV Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030602000006 OK Part A Provider - Hospice 1355251638 Practice locations: Tulsa, OK

Hospice certification: CCN 371638

Legal name
PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC.
Doing business as
ELARA CARING XIV
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 3, 2004
Last certification
Jun 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 24, 2002 in OK
Enrollment address
4815 S Harvard Ave
Ste 300a
Tulsa, OK 74135-3055

Care Compare: Hospice

Medicare Care Compare
Listed as
Elara Caring XivCCN 371638
Ownership
For-Profit
Certified
Jun 3, 2004
Medicare certification status
ActiveFrom the Provider of Services file

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
37D1012992Elara Caring Xiv4815 S Harvard, Ste 300a, Tulsa, OK 74135Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

3314 W Okmulgee St
Muskogee, OK 74401
Phone (918) 683-9400

4815 S Harvard Ave
Ste 400
Tulsa, OK 74135
Phone (918) 683-9400

4815 S Harvard Ave
Ste 300A
Tulsa, OK 74135
Phone (918) 683-9400

907 S Detroit Ave
Ste 905
Tulsa, OK 74120
Phone (918) 582-1630

14295 Midway Rd
Ste 400
Addison, TX 75001
Phone (972) 404-5700

3010 Lyndon B Johnson Fwy
Ste 1100
Dallas, TX 75234

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Stepstone K Strategic Opportunities Fund II L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2019 5.48%
Airjaguar Holdco, Inc. Organization, New York, NY Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest May 15, 2018 100%
Tasha Bryant Individual W-2 Managing EmployeeAlt Administrator Jan 2, 2024
Daniel R Manley Individual Corporate OfficerAssistant Treasurer Jun 8, 2021
Ananth P Mohan Individual Corporate OfficerPresident/Vice President/Secretary Jun 23, 2025
Corporate DirectorPresident/Vice President/Secretary Jun 23, 2025
John McMahon Individual Corporate OfficerCfo/Treasurer Oct 7, 2022
Blue Wolf Capital Fund III L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2023 11.13%
Airjaguar Acquisition, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 15, 2018 100%
Lindsay Richards Individual Operational/Managerial ControlAdministrator Jan 30, 2023
Katie L Monastiere Individual Corporate OfficerSVP Investigations & Privacy Office Dec 26, 2025
Joshua Gotbaum Individual Corporate Director Sep 14, 2025
Kelso Investment Associates IX, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2019 15.68%
Hci Holdings Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Sep 30, 2015 100%
Healthcare Innovations Private Services Inc. Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest Sep 30, 2015 100%
Harvey Tepner Individual Corporate Director Sep 14, 2025
Kelso HH Co-Investment, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2019 19.2%
Kia IX (HH) Investor, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2023 40.27%
BW Homecare Holdings LLC Organization, New York, NY 5% Or Greater Indirect Ownership Interest May 15, 2018 100%
Hci Parent Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Sep 30, 2013 100%
Ironsides Direct Investment Fund IV, L.P. Organization, Andover, MA 5% Or Greater Indirect Ownership Interest Dec 30, 2019 4.94%
BW NHHC Co-Invest, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2023 42.85%
Elara Holdings, L.L.C. Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Dec 30, 2019 100%
JHH/Cima Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Oct 11, 2014 100%
BW III Homecare Holdings, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2023 11.13%
Stepstone H Opportunities Fund, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2019 8.78%
Seth D Yandell Individual Operational/Managerial ControlMedical Director Sep 20, 2013
Angel Stansbury Individual W-2 Managing EmployeeDirector of Licensing & Regulatory Dec 26, 2025
BW NHHC Holdco Inc. Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest May 15, 2018 100%
Kep VI LLC Organization, New York, NY 5% Or Greater Indirect Ownership Interest Dec 30, 2019 4.52%
Uss-Constitution Co-Investment Fund II, L.P. Organization, Andover, MA 5% Or Greater Indirect Ownership Interest Dec 30, 2019 4.94%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 93

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

View all 93

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1598736712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LYNDON B JOHNSON FWY STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342712",
            "telephone_number": "800-379-1600",
            "fax_number": "903-537-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S HARVARD AVE STE 300A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353055",
            "telephone_number": "918-683-9400",
            "fax_number": "918-351-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HOSPICE OF MUSKOGEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "STANSBURY",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "DIR LICENSE & REGULATORY COMPLIANCE",
        "authorized_official_telephone_number": "337-344-2141"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elara Caring XIV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elara Caring XIV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.