Hospice Advantage, LLC
Organization Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Tulsa, OK
NPI 1962090654 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1962090654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- Legal business name
- HOSPICE ADVANTAGE, LLC
- Practice address
- 4612 S Harvard Ave Ste E
Tulsa, OK 74135-2931 - Phone
- (918) 770-7687
- Fax
- (918) 592-4110
- NPI assigned
- Jan 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP Chief Legal Officer
- Phone
- (615) 309-5668
Corporate family (same tax ID) 36
Member of 1
Practitioners 5
-
Megan Kendall Burnett, APRN
-
Amelia Ruth Hawkins, RN, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus-Florence |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| Compassus- North Georgia II |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 7, 2015 |
| Compassus - Auburn |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210419001955 | OK | Part B Supplier - Clinic/Group Practice | 3779544960 |
Receives reassigned benefits from 4 practitioners Practice locations: Tulsa, OK |
National Provider Directory
- Tax ID family
- Hospice Advantage LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician |
207QH0002X | Yes | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
4612 S Harvard Ave Ste E
Tulsa, OK 74135-2931
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Other names
- Compassus - Owasso
Other providers in Tulsa, OK
- Samuel A Horton
- Kathryn Lee Horwath
- Morgan Horwitz
- Michael Hosier
- Thomas Karl Hoskison
- Hospice Advantage, LLC.
- Hospice of Green Country, Inc.
- Hospice of Northeast Oklahoma, LLC
- MD Hossain
- Wesley Hostetler
All providers in Tulsa, OK · Hospice and Palliative Medicine (Family Medicine) Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.