SHANADOA HOME HEALTH, INC. – Home Health Agency, NPI 1467641696
Home Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANADOA HOME HEALTH, INC.
1740 SE Washington Blvd Ste C
Bartlesville, OK 740066719
Phone: (918) 331-0800
Fax: (918) 331-0805
Type: Location
PO BOX 1617
OWASSO, OK 740551617
Phone: (918) 331-0800
Fax: (918) 331-0805
Type: Mailing
North 138th East Avenue, Owasso, Tulsa County, Oklahoma, 74055, United States
OWASSO, OK 740554632
Phone: (918) 331-0800
Fax: (918) 331-0805
Type: Location
2448 E 81ST ST STE 1400
TULSA, OK 741374307
Phone: (918) 331-0800
Fax: (918) 331-0805
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (652 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080411000154 | O | Home Health Agency | OK | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74006)
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