Source Unlimited Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOURCE UNLIMITED INC

Practice address

4801 N Classen Blvd Ste 239
Oklahoma City, OK 73118-4622

Phone

(405) 840-5558

Fax

(405) 840-9194

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marvetta Kay Vaughns

Title

Owner

Phone

(405) 840-5558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1194858290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD STE 239",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184622",
            "telephone_number": "405-840-5558",
            "fax_number": "405-840-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N CLASSEN BLVD STE 239",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184622",
            "telephone_number": "405-840-5558",
            "fax_number": "405-840-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "VAUGHNS",
        "authorized_official_first_name": "MARVETTA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-840-5558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.