Heavens Gate Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEAVENS GATE HOSPICE INC.

Practice address

26256 Caughron Rd
Cameron, OK 74932-2376

Phone

(918) 647-7829

Fax

(918) 654-3020

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lamona Kaye Estes, CEO

Title

Ceo

Phone

(918) 647-7829

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1922320969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26256 CAUGHRON RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322376",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26256 CAUGHRON RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322376",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS GATE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "LAMONA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-647-7829",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Main Medical Inc
• Mercy Hospital Fort Smith (Mercy Hospice Cameron)

• Community Based Hospice Care Agency in Cameron, OK
• Providers in Cameron, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.