Organization Active NPI

My Brothers Keeper Services Unlimited Inc.

Doing business as Angelic Hospice

  • Community Based Hospice Care Agency
  • Tulsa, OK
National Provider Identifier
1801828215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4220 Issued in OK
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.