Provider Demographics
NPI:1245286236
Name:SEASONS HOSPICE INC
Entity type:Organization
Organization Name:SEASONS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-492-6440
Mailing Address - Street 1:6532 E 71ST ST
Mailing Address - Street 2:STE 101
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2764
Mailing Address - Country:US
Mailing Address - Phone:918-745-0222
Mailing Address - Fax:
Practice Address - Street 1:6532 E 71ST ST
Practice Address - Street 2:STE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2764
Practice Address - Country:US
Practice Address - Phone:918-745-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371561Medicare Oscar/Certification