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SHEPHERD'S CARE HOSPICE OF WAGONER, LLC
NPI 1912960089
Hospice Care, Community Based in Wagoner, OK

Active since April 10, 2006
611 W CHEROKEE ST, WAGONER, OK 74467(918) 485-4673 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shepherd's Care Hospice Of Wagoner, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPHERD'S CARE HOSPICE OF WAGONER, LLC (NPI 1912960089) is a healthcare organization registered as a hospice care, community based in Wagoner, Oklahoma and active in the NPI registry since April 2006. The organization lists Deena K. Bottom, President, as its authorized official.

NPPES Registry Identity

NPI1912960089
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHEPHERD'S CARE HOSPICE OF WAGONER, LLC
Location Address611 W CHEROKEE STWagoner, OK 74467-4618
Mailing Address611 W Cherokee StWagoner, OK 74467-4618 · (918) 485-4673
Phone(918) 485-4673
Organization SubpartNo
Authorized OfficialDeena K. BottomPresident · (918) 485-4673
Enumeration DateApril 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912960089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in OK · 4177
611 W CHEROKEE ST, Wagoner, OK 74467
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shepherd's Care Hospice Of Wagoner, LLC's NPI number?

The NPI number for Shepherd's Care Hospice Of Wagoner, LLC is 1912960089. It was assigned to this organization in the NPPES registry on April 10, 2006.

Where is Shepherd's Care Hospice Of Wagoner, LLC located?

Shepherd's Care Hospice Of Wagoner, LLC is located at 611 W Cherokee St, Wagoner, OK 74467. The listed phone number is (918) 485-4673.

What is Shepherd's Care Hospice Of Wagoner, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Shepherd's Care Hospice Of Wagoner, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.