NPIMap

Organization Active NPI

Vahlberg Enterprises, LLC

Doing business as LifeSpring Home Care of McAlester

  • Home Health Agency
  • McAlester, OK
National Provider Identifier
1851689426
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VAHLBERG ENTERPRISES, LLC
Doing business as
LifeSpring Home Care of McAlester
Practice address
316 E Choctaw Ave
McAlester, OK 74501-5028
Phone
(918) 429-0407
NPI assigned
Jul 18, 2011
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Ms. Karen E Vahlberg, RN
Title
Manager
Phone
(405) 329-4545

Specialties & licenses 1

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

Addresses

Primary practice location

316 E Choctaw Ave
McAlester, OK 74501-5028

Mailing address

2411 Springer Dr
Norman, OK 73069-3955
Phone (405) 329-4545

Other names 1

  • LifeSpring Home Care of McAlester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109000257 OK Part A Provider - Home Health Agency 5890076749 Practice locations: McAlester, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851689426. Details of each certification follow.

Home health agency certification: CCN 377756

Legal name
VAHLBERG ENTERPRISES LLC
Doing business as
LIFESPRING HOME CARE OF MCALESTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 13, 2012
Last certification
Mar 24, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 5, 2016 in OK
Enrollment address
719 S George Nigh Expy
McAlester, OK 74501-7278

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifespring Home Care of McAlesterCCN 377756 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 13, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

304 E Seminole Ave
McAlester, OK 74501
Phone (918) 429-0407

316 E Choctaw Ave
McAlester, OK 74501
Phone (918) 426-4841

719 S George Nigh Expy
McAlester, OK 74501
Phone (918) 429-0407

2411 Springer Dr
Norman, OK 73069
Phone (405) 310-3222

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
The Deaconess Associations Inc Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 12, 2021 100%
Karen E Vahlberg Individual Corporate OfficerManager, Compliance Officer Oct 15, 2016
W-2 Managing Employee Nov 12, 2021
Deaconess Healthcare Holdings, Inc. Organization, Cincinnati, OH Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 12, 2021 100%
Lifespring Home Care and Hospice, LLC Organization, Norman, OK LLC, Holding company 5% Or Greater Direct Ownership Interest Nov 12, 2021 100%
Betty Ohara Individual W-2 Managing EmployeeChief Clinical Officer Oct 15, 2016
Douglas Clyde Harrison Individual W-2 Managing EmployeeCfo Dec 1, 2021

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Change-of-ownership history 2

DateEventCounterparty
Oct 15, 2016 Change of OwnershipThis provider was the buyer Lifespring Home CareCCN 377756, OK, NPI 1851689426
Oct 15, 2016 Change of OwnershipThis provider was the seller Lifespring Home Care of McAlesterCCN 377756, OK, NPI 1851689426

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1851689426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SPRINGER DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693955",
            "telephone_number": "405-329-4545",
            "fax_number": "405-310-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E CHOCTAW AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015028",
            "telephone_number": "918-429-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAHLBERG ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "VAHLBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-329-4545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSpring Home Care of McAlester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.