Organization Active NPI

Country Style Health Care Inc

Doing business as Oklahoma Healthcare Solutions I

  • Home Health Agency
  • Ketchum, OK
National Provider Identifier
1811998164
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC7371 Issued in OK
Legal business name
COUNTRY STYLE HEALTH CARE INC
Doing business as
Oklahoma Healthcare Solutions I
Practice address
156 South El Paso Y
Ketchum, OK 74349-0299
Phone
(918) 782-4449
Fax
(918) 782-4649
NPI assigned
Aug 9, 2005
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Jackie C Browne
Title
VP of Operations
Phone
(918) 465-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC7371 OK Primary

Addresses

Primary practice location

156 South El Paso Y
Ketchum, OK 74349-0299

Mailing address

PO Box 299
Ketchum, OK 74349-0299
Phone (918) 782-4449

Other identifiers 2

IdentifierTypeStateIssuer
100261910AMedicaidOK
100686310BMedicaidOK

Other names 1

  • Oklahoma Healthcare Solutions I Doing business as

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oklahoma Healthcare Solutions ICCN 377468
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

1100 E Melton Dr
Jay, OK 74346
Phone (918) 253-4950

1011 S Muskogee Ave
Tahlequah, OK 74464
Phone (918) 453-2707

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1811998164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "KETCHUM",
            "state": "OK",
            "postal_code": "743490299",
            "telephone_number": "918-782-4449",
            "fax_number": "918-782-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SOUTH EL PASO Y",
            "city": "KETCHUM",
            "state": "OK",
            "postal_code": "743490299",
            "telephone_number": "918-782-4449",
            "fax_number": "918-782-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY STYLE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "918-465-2626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261910A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100686310B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Healthcare Solutions I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma Healthcare Solutions I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ketchum, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.