Active NPI
Country Style Health Care Inc
Doing business as Oklahoma Healthcare Solutions I
- Home Health Agency
- Ketchum, OK
National Provider Identifier
1811998164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC7371
- 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, 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
- Jackie C Browne
- Title
- VP of Operations
- Phone
- (918) 465-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100261910A | Medicaid | OK | |
| 100686310B | Medicaid | OK |
Other names 1
- Oklahoma Healthcare Solutions I
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Oklahoma Healthcare Solutions I
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 27, 1995
- Medicare certification status
- Active
- 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 DirectoryLocations
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.