Organization Active NPI

Cherokee Nation Comprehensive Care Agency

Doing business as Cherokee Elder Care

  • PACE Provider Organization
  • Tahlequah, OK
National Provider Identifier
1952584518
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
H4142 Issued in OK
Legal business name
CHEROKEE NATION COMPREHENSIVE CARE AGENCY
Doing business as
Cherokee Elder Care
Practice address
1387 W Fourth St
Tahlequah, OK 74464
Phone
(918) 431-4111
Fax
(918) 431-4112
NPI assigned
Dec 6, 2007
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEROKEE NATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Sharon K. Hilton
Title
Program Director
Phone
(918) 453-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X H4142 OK Primary

Addresses

Primary practice location

1387 W Fourth St
Tahlequah, OK 74464

Mailing address

PO Box 948
Tahlequah, OK 74465-0948
Phone (918) 431-4111

Other identifiers 1

IdentifierTypeStateIssuer
H4142OtherOKCMS

Other names 1

  • Cherokee Elder Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1077363Cherokee Elder Care1387 W 4TH St, Tahlequah, OK 74464Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Talking Leaves Job Corps21 organizations share this tax ID, including this one
Part of
Talking Leaves Job Corps

Other organizations with this tax ID 20

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

View all 20

Locations

1387 W 4th St
Tahlequah, OK 74464
Phone (918) 431-4111

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1952584518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744650948",
            "telephone_number": "918-431-4111",
            "fax_number": "918-431-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 W FOURTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-431-4111",
            "fax_number": "918-431-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE NATION COMPREHENSIVE CARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEROKEE NATION",
        "enumeration_date": "2007-12-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-453-5599"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "OK",
            "license": "H4142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "H4142",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.