Principal Care Collective

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRINCIPAL CARE COLLECTIVE

Practice address

1000 W Wilshire Blvd Ste 321
Oklahoma City, OK 73116-7031

Phone

(475) 204-7417

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Demi Mitchell

Title

Owner

Phone

(475) 204-7417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1194422378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 W WILSHIRE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163129",
            "telephone_number": "475-204-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD STE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167031",
            "telephone_number": "475-204-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL CARE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-204-7417"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Sydney Prince, DO
• Kimberly Ann Prince, PRSS
• Kimberly Jean Prince
• Marva Jean Prince, MS,
• Riemond Eldon Prince III
• Principle Choice Home Healthcare
• Principle Choice Home Healthcare
• Principle Imaging, LLC
• Principles of Resilience of Youth Development, LLC
• Julia Grace Pringle

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.