Active NPI
Grayson Home Health, Inc.
- Home Health Agency
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC7877
- Legal business name
- GRAYSON HOME HEALTH, INC.
- Practice address
- 1305 N 16TH Ave
Durant, OK 74701-2134 - Phone
- (580) 745-9470
- Fax
- (580) 745-9288
- NPI assigned
- May 2, 2008
- Last updated
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly D Sexton, LVN
- Title
- Owner
- Phone
- (580) 745-9470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC7877 | OK | Primary |
Addresses
Primary practice location
1305 N 16TH Ave
Durant, OK 74701-2134
Mailing address
1305 N 16TH Ave
Durant, OK 74701-2134
Phone (580) 745-9470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080825000265 | OK | Part A Provider - Home Health Agency | 0042385197 | Practice locations: Durant, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801062518. Details of each certification follow.
Home health agency certification: CCN 377729
- Legal name
- GRAYSON HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 6, 2009
- Last certification
- Mar 6, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 26, 2007 in OK
- Enrollment address
- 142 W Main St
Durant, OK 74701-5008
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Grayson Home Health, Inc
- Ownership
- Proprietary
- Certified
- Aug 6, 2009
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1305 N 16th Ave
Durant, OK 74701
Phone (580) 920-0400
142 W Main St
Durant, OK 74701
Phone (580) 920-2069
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Misty Murphree | W-2 Managing Employee | Jun 2, 2023 | |
| Katherine Studer | W-2 Managing Employee | Jan 1, 2017 | |
| Operational/Managerial Control | Mar 1, 2018 | ||
| Justin Anderson | 5% Or Greater Direct Ownership Interest | Apr 23, 2019 | 50% |
| Corporate Officer | Apr 23, 2019 | 50% | |
| Corporate Director | Apr 23, 2019 | 50% | |
| Operational/Managerial Control | Mar 1, 2018 | 100% | |
| Stacey L Gibson | 5% Or Greater Direct Ownership Interest | Apr 23, 2019 | 50% |
| Corporate Officer | Apr 23, 2019 | 50% | |
| Corporate Director | Apr 23, 2019 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Mental Health Counselor
- Durant, OK
- NPI 1346448669
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
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.
-
- Family Nurse Practitioner
- Farmington, ME
- NPI 1750717948
Affiliated clinicians 5
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": "1209686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1801062518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N 16TH AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747012134",
"telephone_number": "580-745-9470",
"fax_number": "580-745-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N 16TH AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747012134",
"telephone_number": "580-745-9470",
"fax_number": "580-745-9288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYSON HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-02",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "SEXTON",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-745-9470",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "HC7877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.