# INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Assured Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699074997
- **Authorized official:** MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 1621 S EUCALYPTUS AVE STE 102, BROKEN ARROW, OK 74012-5948
- **Practice address phone:** (918) 298-0275
- **Practice address fax:** (918) 298-4838
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2011
- **Last updated:** 08/17/2022