Active NPI
Professional Home Hospice of Muskogee, Inc.
- Community Based Hospice Care Agency
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4155
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200046590A | Medicaid | OK |
Other names 1
- Elara Caring XIV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Xiv
- Ownership
- For-Profit
- Certified
- Jun 3, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1012992 | Elara Caring Xiv | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stepstone K Strategic Opportunities Fund II L.P. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 5.48% |
| Airjaguar Holdco, Inc. | 5% Or Greater Indirect Ownership Interest | May 15, 2018 | 100% |
| Tasha Bryant | W-2 Managing Employee | Jan 2, 2024 | |
| Daniel R Manley | Corporate Officer | Jun 8, 2021 | |
| Ananth P Mohan | Corporate Officer | Jun 23, 2025 | |
| Corporate Director | Jun 23, 2025 | ||
| John McMahon | Corporate Officer | Oct 7, 2022 | |
| Blue Wolf Capital Fund III L.P. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 11.13% |
| Airjaguar Acquisition, LLC | 5% Or Greater Indirect Ownership Interest | May 15, 2018 | 100% |
| Lindsay Richards | Operational/Managerial Control | Jan 30, 2023 | |
| Katie L Monastiere | Corporate Officer | Dec 26, 2025 | |
| Joshua Gotbaum | Corporate Director | Sep 14, 2025 | |
| Kelso Investment Associates IX, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 15.68% |
| Hci Holdings Corporation | 5% Or Greater Indirect Ownership Interest | Sep 30, 2015 | 100% |
| Healthcare Innovations Private Services Inc. | 5% Or Greater Direct Ownership Interest | Sep 30, 2015 | 100% |
| Harvey Tepner | Corporate Director | Sep 14, 2025 | |
| Kelso HH Co-Investment, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 19.2% |
| Kia IX (HH) Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 40.27% |
| BW Homecare Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 15, 2018 | 100% |
| Hci Parent Holdings Inc | 5% Or Greater Indirect Ownership Interest | Sep 30, 2013 | 100% |
| Ironsides Direct Investment Fund IV, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 4.94% |
| BW NHHC Co-Invest, L.P. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 42.85% |
| Elara Holdings, L.L.C. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 100% |
| JHH/Cima Holdings Inc | 5% Or Greater Indirect Ownership Interest | Oct 11, 2014 | 100% |
| BW III Homecare Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 11.13% |
| Stepstone H Opportunities Fund, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 8.78% |
| Seth D Yandell | Operational/Managerial Control | Sep 20, 2013 | |
| Angel Stansbury | W-2 Managing Employee | Dec 26, 2025 | |
| BW NHHC Holdco Inc. | 5% Or Greater Indirect Ownership Interest | May 15, 2018 | 100% |
| Kep VI LLC | 5% Or Greater Indirect Ownership Interest | Dec 30, 2019 | 4.52% |
| Uss-Constitution Co-Investment Fund II, L.P. | 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.
-
- Internal Medicine Physician
- Tahlequah, OK
- NPI 1730389396
Operational/Managerial Control
Facilities with the same owner 93
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Sallisaw, OK
- NPI 1770554065
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Purcell, OK
- NPI 1013998954
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1447380670
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Sallisaw, OK
- NPI 1679659270
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Stillwater, OK
- NPI 1942440102
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Community Based Hospice Care Agency
- Ada, OK
- NPI 1023027091
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Ada, OK
- NPI 1932115722
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Lawton, OK
- NPI 1114932639
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Community Based Hospice Care Agency
- Chickasha, OK
- NPI 1639186604
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Community Based Hospice Care Agency
- Hugo, OK
- NPI 1194833806
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
-
- Home Health Agency
- Chickasha, OK
- NPI 1699722991
Airjaguar Acquisition, LLC, Airjaguar Holdco, Inc., Blue Wolf Capital Fund III L.P., BW Homecare Holdings LLC, BW III Homecare Holdings, LLC, BW NHHC Co-Invest, L.P., BW NHHC Holdco Inc., Elara Holdings, L.L.C., Hci Holdings Corporation, Hci Pare
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
- Shaycoya Proctor
- Productive Counseling Services PLLC
- Professional Anesthesiology Surgical Services, PC
- Professional Dysphagia Specialists
- Professional Hearing Healthcare PC
- Professional Management Services, Inc.
- Professional Physical Therapy Inc.
- Delia Carmella Proffitt
- Irvin Dwayne Profit, LADC U/S
- Tamika Lynn Profit
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.