NPIMap

Organization Active NPI

Russell-Murray Hospice, Inc.

  • Community Based Hospice Care Agency
  • El Reno, OK
National Provider Identifier
1629068879
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4005 Issued in OK
Legal business name
RUSSELL-MURRAY HOSPICE, INC.
Practice address
2001 Parkview Dr
El Reno, OK 73036-2107
Phone
(405) 262-3088
Fax
(405) 262-3082
NPI assigned
Oct 27, 2005
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Ms. Christina Ketter
Title
Administrator
Phone
(405) 262-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4005 OK Primary

Addresses

Primary practice location

2001 Parkview Dr
El Reno, OK 73036-2107

Mailing address

2001 Parkview Dr
El Reno, OK 73036-2107
Phone (405) 262-3088

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824000555 OK Part A Provider - Hospice 1456382910 Practice locations: El Reno, OK; Kingfisher, OK; Oklahoma City, OK; Weatherford, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629068879. Details of each certification follow.

Hospice certification: CCN 371510

Legal name
RUSSELL-MURRAY HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 18, 1990
Last certification
Apr 28, 2021
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Nov 28, 1988 in OK
Enrollment address
2001 Park View Drive
El Reno, OK 73036-2107

Care Compare: Hospice

Medicare Care Compare
Listed as
Russell-Murray Hospice, IncCCN 371510 · All quality measures
Ownership
Non-Profit
Certified
Jun 18, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2001 Parkview Dr
El Reno, OK 73036
Phone (405) 262-2114

221 S Bickford Ave
El Reno, OK 73036
Phone (405) 225-6834

202 N Main St
Kingfisher, OK 73750
Phone (405) 375-5015

1625 Cypress Dr
Weatherford, OK 73096
Phone (580) 774-2661

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Melodie D Duff Individual Corporate Director Jan 1, 2013
W-2 Managing EmployeePatient Care Coordinator Jan 1, 2013
Operational/Managerial ControlAssistant Executive Director Jan 1, 2013
Vicki Myers Individual Corporate OfficerBoad Member, Sec Oct 6, 2014
W-2 Managing EmployeeExec Dir Oct 6, 2014
Operational/Managerial ControlExecutive Dir Oct 6, 2014
Christina L Ketter Individual Corporate OfficerTreasurer Aug 1, 2007
W-2 Managing EmployeeAdmin Aug 1, 2007
Operational/Managerial ControlAdmin Aug 1, 2007

Owners & managing parties with NPI records 1

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

  • Melodie Duff, APRN
    • Family Nurse Practitioner
    • El Reno, OK
    • NPI 1497150387

    Corporate Director, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

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.

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1629068879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362107",
            "telephone_number": "405-262-3088",
            "fax_number": "405-262-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362107",
            "telephone_number": "405-262-3088",
            "fax_number": "405-262-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL-MURRAY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "KETTER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-262-3088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.