Mayes County Hma Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7232 Issued in OK

Legal business name

MAYES COUNTY HMA HOME HEALTH, LLC

Doing business as

Alliance Oklahoma Home Health Northeast

Practice address

235 Woodlawn Ave
Tahlequah, OK 74464-3317

Phone

(918) 824-7744

Fax

(918) 824-6319

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Secretary/Treasurer

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alliance Oklahoma Home Health Northeast Doing business as

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1891718086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WOODLAWN AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643317",
            "telephone_number": "918-824-7744",
            "fax_number": "918-824-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES COUNTY HMA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700040D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Oklahoma Home Health Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caitlin Erin McArthur, LCSW
• Julie McCandless, RN
• Denise Kathleen McClure
• Thomason Michael McConnell, D.D.S
• Melissa McCoy

• Home Health Agency in Tahlequah, OK
• Providers in Tahlequah, 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 May 21, 2020; 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.