Mashovin Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC7788 Issued in OK

Legal business name

MASHOVIN HOME HEALTH CARE, INC.

Practice address

12131 East Skelly Drive
Tulsa, OK 74128

Phone

(918) 245-3337

Fax

(918) 245-3347

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Maxine Hardridge

Title

Administrator

Phone

(918) 245-3337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Home health agency certification: CCN 377682

Legal name

MASHOVIN HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 30, 2004

Last certification

Jun 11, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

12131 E. Skelly Drive
Tulsa, OK 74128-2410

Listed as

Mashovin Home Health Care, IncCCN 377682

Ownership

Proprietary

Certified

Dec 30, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Susanne Patricia Thompson, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1033111547

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881753572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 EAST SKELLY DRIVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74128",
            "telephone_number": "918-245-3337",
            "fax_number": "918-245-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 EAST SKELLY DRIVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74128",
            "telephone_number": "918-245-3337",
            "fax_number": "918-245-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHOVIN HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDRIDGE",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-245-3337"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shondra Deon Marzett
• Samuel Tobey Marzouk, MA
• Jaci Mashburn
• Kristen Ann Mashburn, APRN-CNP
• Hafsat Umar Mashegu, MD
• Vickie Mashunkashey, SLP
• Haylie Simone Mask
• John Anthony Dean Maslin, APRN-CNP
• Mason R Davis DDS PLC
• Allison Marie Mason, LCSW

• Home Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Home Health Agency in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.