NPIMap

Organization Active NPI

A Path of Care Home Health I, Inc.

  • Home Health Agency
  • Ada, OK
National Provider Identifier
1770638967
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7787 Issued in OK
Legal business name
A PATH OF CARE HOME HEALTH I, INC.
Practice address
201 N Monte Vista St
Ada, OK 74820-7213
Phone
(580) 622-6680
Fax
(580) 622-5637
NPI assigned
Jan 25, 2007
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Mr. John Kelly
Title
President
Phone
(405) 928-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7787 OK Primary

Addresses

Primary practice location

201 N Monte Vista St
Ada, OK 74820-7213

Mailing address

2910 Adams Rd
Norman, OK 73069-1023
Phone (405) 928-2727

Other identifiers 1

IdentifierTypeStateIssuer
200050330AMedicaidOK

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
O20120404000166 OK Part A Provider - Home Health Agency 8820065097 Practice locations: Ada, OK; Enid, OK; Norman, OK; Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770638967. Details of each certification follow.

Home health agency certification: CCN 377677

Legal name
A PATH OF CARE HOME HEALTH I INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 2004
Last certification
Mar 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 23, 2004 in OK
Enrollment address
201 N Monte Vista St
Ste a
Ada, OK 74820-7220

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Path of Care Sooner Home HealthCCN 377677 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 1, 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
37D1028790A Path of Care Sooner Home Health201 N Monte Vista, Ste a, Ada, OK 74820Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

201 N Monte Vista St
Ada, OK 74820
Phone (580) 622-6680

201 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 332-4418

2401 Tee Cir
Ste 206
Norman, OK 73069
Phone (405) 928-2727

3750 W Main St
Ste 7A
Norman, OK 73072
Phone (405) 321-7400

15 E Dewey Ave
Sapulpa, OK 74066
Phone (918) 227-1135

907 E 35th St
Ste 2
Shawnee, OK 74804
Phone (405) 275-6446

921 W 11th St
Ste 1
Sulphur, OK 73086
Phone (580) 622-6680

921 W 11th St
Ste 14
Sulphur, OK 73086
Phone (580) 622-6680

10153 E 79th St
Ste 206
Tulsa, OK 74133
Phone (918) 224-4500

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Innovative Capital Management LLC Organization, Norman, OK LLC Operational/Managerial Control Feb 8, 2016 100%
McCallum Investments LLC Organization, Norman, OK LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2016 48.5%
Tuscany Investments LLC Organization, Norman, OK LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2016 48.5%
John Kelly Individual Corporate Officer Feb 8, 2016 100%
Operational/Managerial Control Feb 8, 2016 100%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1770638967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ADAMS RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691023",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207213",
            "telephone_number": "580-622-6680",
            "fax_number": "580-622-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATH OF CARE HOME HEALTH I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-928-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050330A",
            "state": "OK"
        }
    ],
    "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",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.