NPIMap

Organization Active NPI

Integris Grove Hospital

Doing business as Trinity Life Care Home Health Supplies

  • Home Health Agency
  • Grove, OK
National Provider Identifier
1871785642
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7012 Issued in OK
Legal business name
INTEGRIS GROVE HOSPITAL
Doing business as
Trinity Life Care Home Health Supplies
Practice address
1103 E 13TH Street
Suite D
Grove, OK 74344-5304
Phone
(918) 787-3800
NPI assigned
Aug 15, 2007
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Carl Bruce Lawrence
Title
President Ceo
Phone
(405) 949-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7012 OK Primary

Addresses

Primary practice location

1103 E 13TH Street
Suite D
Grove, OK 74344-5304

Mailing address

PO Box 450458
Grove, OK 74345-0458

Other identifiers 1

IdentifierTypeStateIssuer
100699700LMedicaidOK

Other names 1

  • Trinity Life Care Home Health Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Lake Family Pract5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1871785642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450458",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E 13TH STREET",
            "address_2": "SUITE D",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445304",
            "telephone_number": "918-787-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS GROVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "405-949-3177"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699700L",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Life Care Home Health Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.