Organization
ROSS HOSPICE OF CHICKASHA LLC
Active
Organization
ROSS HOSPICE OF CHICKASHA LLC
Active
Other names
Elara Caring VI
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MILLER (VP OF REGULATORY)
(903) 537-8656
Entity
Organization
Contact information
Practice address
721 S GEORGE NIGH EXPY STE 3B, MCALESTER, OK 74501-7437
(405) 224-0012
(405) 224-2974
Mailing address
14295 MIDWAY ROAD, SUITE 400, ADDISON, TX 75001
(800) 234-1866
(903) 537-8420
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371617-001
BLUECROSSBLUESHIELD
—
05
—
200059300A
—
OK
05
—
200059300C
—
OK
01
—
75-3098244
HEALTH CHOICE
—
Enumeration date
05/25/2006
Last updated
04/29/2020
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