Organization Active NPI

Restorelife LLC

  • Home Health Agency
  • Tulsa, OK
National Provider Identifier
1982117131
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESTORELIFE LLC
Practice address
1324 N Sheridan Rd
Tulsa, OK 74115-6850
Phone
(918) 728-8487
Fax
(918) 728-8487
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Augustina Agadagba, ARNPNPI 1205179561
Title
Owner
Phone
(918) 813-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1324 N Sheridan Rd
Tulsa, OK 74115-6850

Mailing address

909 S Aster Ave
Broken Arrow, OK 74012-8832
Phone (918) 813-0511

National Provider Directory

National Provider Directory

Locations

1324 N Sheridan Rd
Tulsa, OK 74115
Phone (918) 728-8487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1982117131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S ASTER AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128832",
            "telephone_number": "918-813-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741156850",
            "telephone_number": "918-728-8487",
            "fax_number": "918-728-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORELIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "AGADAGBA",
        "authorized_official_first_name": "AUGUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-813-0511",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.