Bios Home Health Care LLC
Organization Active NPI Home Health Agency · Cleveland, OK
NPI 1659857308 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1659857308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HC7167 (OK)
- Legal business name
- BIOS HOME HEALTH CARE LLC
- Practice address
- 121 S Broadway St
Cleveland, OK 74020-4614 - Phone
- (918) 358-2483
- Fax
- (918) 358-2641
- NPI assigned
- Jul 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Lori M Mouse, CPA
- Title
- Chief Financial Officer
- Phone
- (918) 227-8390
Change of ownership 1
Affiliated clinicians 6
-
Benjamin Houston Greiner, DO, MPH
-
Shari K Herron, APRN
-
Wilson Gregory Knight II, D.O.
-
Angela Marie McGuire, D.O.
-
John H Laymon, NP
Medicare Care Compare: Home health agency
- Listed as
- Bios Home Health Care LLC
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 17, 1985
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1031695 | Bios Home Health Care, LLC | Certificate of waiver | Oct 6, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Home health agency certification: CCN 377138
- Legal name
- BIOS HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 17, 1985
- Last certification
- Jan 27, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 5, 2018 in OK
- Enrollment address
- 307 E Dewey Ave
Sapulpa, OK 74066-4301
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly a Weir |
W-2 Managing Employee |
Jul 1, 2018 | |
| Bios Home Health Care LLC |
Other | Jul 1, 2018 | |
| Carole Brandl |
W-2 Managing Employee | Jul 1, 2018 | |
| Bios Companies Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2018 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2018 | Change of Ownership |
Cleveland Home Health |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180918001152 | OK | Part a Provider - Home Health Agency | 5698026482 | Practice locations: Sapulpa, OK |
National Provider Directory
Locations
307 E Dewey Ave
Sapulpa, OK 74066
Phone (918) 358-2483
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC7167 | OK | Yes |
Addresses
Primary practice location
121 S Broadway St
Cleveland, OK 74020-4614
Mailing address
309 E Dewey Ave
Sapulpa, OK 74066-4301
Phone (918) 227-8390
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All providers in Cleveland, OK · Home Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.