NPIMap

Organization Active NPI

Care Plus Home Health Care Inc

Doing business as Care Plus Home Care

  • Home Health Agency
  • Tulsa, OK
National Provider Identifier
1730147570
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7775 Issued in OK
Legal business name
CARE PLUS HOME HEALTH CARE INC
Doing business as
Care Plus Home Care
Practice address
8030 S Memorial Dr
Suite D-1
Tulsa, OK 74133-3664
Phone
(918) 294-9760
Fax
(918) 294-9763
NPI assigned
May 2, 2006
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Prasad Itty
Title
Administrator
Phone
(918) 294-9760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7775 OK Primary

Addresses

Primary practice location

8030 S Memorial Dr
Suite D-1
Tulsa, OK 74133-3664

Mailing address

8030 S Memorial Dr
Suite D-1
Tulsa, OK 74133-3664
Phone (918) 294-9760

Other identifiers 1

IdentifierTypeStateIssuer
7775OtherOKSTATE LICENSE NUMBER

Other names 1

  • Care Plus Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000228 OK Part A Provider - Home Health Agency 9133107626 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730147570. Details of each certification follow.

Home health agency certification: CCN 377674

Legal name
CARE PLUS HOME HEALTH CARE INC
Doing business as
CARE PLUS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 2004
Last certification
Dec 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 30, 2004 in OK
Enrollment address
8030 S. Memorial Drive
Suite D-1
Tulsa, OK 74133-3664

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Plus Home Health Care, IncCCN 377674 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 19, 2004
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
37D1026480Care Plus Home Health Care Inc8030 S Memorial Dr, Suite D-1, Tulsa, OK 74133Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory

Locations

8030 S Memorial Dr
Ste D1
Tulsa, OK 74133
Phone (918) 294-9760

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kumar Govind Individual 5% Or Greater Direct Ownership Interest Jan 27, 2012 33.33%
Corporate Officer Jan 27, 2012
Corporate Director Jan 27, 2012
W-2 Managing Employee Jan 27, 2012
Operational/Managerial Control Jan 27, 2012
Radhakrishnan Panicker Individual 5% Or Greater Direct Ownership Interest Jan 27, 2012
Corporate Officer Mar 30, 2004
Corporate Director Mar 30, 2004
W-2 Managing Employee Jan 27, 2012
Operational/Managerial Control Mar 30, 2004
Leah Beth Foster Individual W-2 Managing EmployeeDirector of Nursing Mar 20, 2022 25%
Prasad Itty Individual 5% Or Greater Direct Ownership Interest Mar 30, 2004 33.33%
Corporate Officer Mar 30, 2004
Corporate Director Jul 12, 2004
W-2 Managing Employee Mar 30, 2004
Operational/Managerial Control Mar 30, 2004
Elizabeth Lawrence Individual W-2 Managing EmployeeAlternate Director of Nursing Sep 1, 2021 5%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1730147570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 S MEMORIAL DR",
            "address_2": "SUITE D-1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333664",
            "telephone_number": "918-294-9760",
            "fax_number": "918-294-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 S MEMORIAL DR",
            "address_2": "SUITE D-1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333664",
            "telephone_number": "918-294-9760",
            "fax_number": "918-294-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PLUS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ITTY",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-294-9760"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "7775",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Plus Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Plus Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.