NPIMap

Organization Active NPI

Hospice of Northeast Oklahoma, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
National Provider Identifier
1780738484
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF NORTHEAST OKLAHOMA, LLC
Practice address
4111 S Darlington Ave
Tulsa, OK 74135-6348
Phone
(918) 622-9281
Fax
(918) 513-7539
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Mark C Rowe
Title
Ceo/President
Phone
(918) 622-9281

Specialties & licenses 1

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

Addresses

Primary practice location

4111 S Darlington Ave
Tulsa, OK 74135-6348

Mailing address

PO Box 781097
Wichita, KS 67278-1097
Phone (316) 260-9690

Other names 1

  • RIVERCROSS HEALTHCARE Doing business as

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
O20070905000003 OK Part A Provider - Hospice 3577656792 Practice locations: Tulsa, OK

Hospice certification: CCN 371683

Legal name
HOSPICE OF NORTHEAST OKLAHOMA LLC.
Doing business as
RIVERCROSS HEALTHCARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 31, 2007
Last certification
Jun 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 13, 2006 in OK
Enrollment address
4111 S Darlington Ave
Ste 1000
Tulsa, OK 74135-6380

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4111 S Darlington Ave
Tulsa, OK 74135
Phone (918) 622-9281

9920 E 42nd St
Ste 201
Tulsa, OK 74146
Phone (918) 622-9281

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
Ronald M Eimen Individual Contracted Managing EmployeeMedical Director Oct 15, 2020
Renee Berryman Individual Contracted Managing EmployeeChief Financial Officer Oct 1, 2022
Corporate OfficerChief Financial Officer Oct 1, 2022
Cheryl L Lovell Individual Contracted Managing EmployeeVice President of Operations Mar 1, 2025
Mark Christian Rowe Individual 5% Or Greater Direct Ownership Interest Dec 13, 2006 100%
Corporate OfficerAdministrator/Ceo Dec 13, 2006 100%
Corporate DirectorAdministrator/Ceo Dec 13, 2006 100%
W-2 Managing EmployeeAd; Dec 13, 2006 100%
Operational/Managerial ControlPresident/Ceo Dec 13, 2006 100%

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Affiliated clinicians 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Rivercross HealthcareCCN 371683
Ownership
For-Profit
Certified
Dec 31, 2007
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1780738484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781097",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672781097",
            "telephone_number": "316-260-9690",
            "fax_number": "316-440-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 S DARLINGTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356348",
            "telephone_number": "918-622-9281",
            "fax_number": "918-513-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NORTHEAST OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "918-622-9281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RIVERCROSS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.