Organization Active NPI

Northwest Home Care LLC

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1104107705
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7729 Issued in OK
Legal business name
NORTHWEST HOME CARE LLC
Practice address
5400 NW 23Rd St
Ste 206
Oklahoma City, OK 73127-2367
Phone
(405) 604-0373
Fax
(405) 604-0383
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kehdinga Nukuna
Title
Ceo
Phone
(405) 604-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7729 OK Primary

Addresses

Primary practice location

5400 NW 23Rd St
Ste 206
Oklahoma City, OK 73127-2367

Mailing address

5400 NW 23Rd St
Ste 206
Oklahoma City, OK 73127-2367
Phone (405) 604-0373

National Provider Directory

National Provider Directory

Locations

5400 NW 23rd St
Ste 206
Oklahoma City, OK 73127
Phone (405) 604-0373

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1104107705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 NW 23RD ST",
            "address_2": "STE 206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272367",
            "telephone_number": "405-604-0373",
            "fax_number": "405-604-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 NW 23RD ST",
            "address_2": "STE 206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272367",
            "telephone_number": "405-604-0373",
            "fax_number": "405-604-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "NUKUNA",
        "authorized_official_first_name": "KEHDINGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-604-0373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.