Active NPI
My Brothers Keeper Services Unlimited Inc.
Doing business as Angelic Hospice
- Community Based Hospice Care Agency
- Tulsa, OK
National Provider Identifier
1801828215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4220
- Legal business name
- MY BROTHERS KEEPER SERVICES UNLIMITED INC.
- Doing business as
- Angelic Hospice
- Practice address
- 2120 S 85TH East Ave
Tulsa, OK 74129-3012 - Phone
- (918) 622-3800
- Fax
- (918) 622-1574
- NPI assigned
- Jul 7, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. David Neal Carson
- Title
- Owner/ Administrator
- Phone
- (918) 622-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4220 | OK | Primary |
Addresses
Primary practice location
2120 S 85TH East Ave
Tulsa, OK 74129-3012
Mailing address
2120 S 85TH East Ave
Tulsa, OK 74129-3012
Phone (918) 622-3800
Other names 1
- Angelic Hospice
National Provider Directory
National Provider DirectoryLocations
2120 S 85th E Ave
Tulsa, OK 74129
Phone (918) 622-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801828215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 S 85TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741293012",
"telephone_number": "918-622-3800",
"fax_number": "918-622-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S 85TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741293012",
"telephone_number": "918-622-3800",
"fax_number": "918-622-1574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BROTHERS KEEPER SERVICES UNLIMITED INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
"authorized_official_telephone_number": "918-622-3800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OK",
"license": "4220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angelic Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.