Organization Active NPI

Quantum Healthcare Inc

  • Home Health Agency
  • Lawton, OK
National Provider Identifier
1245343326
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7520 Issued in OK
Legal business name
QUANTUM HEALTHCARE INC
Practice address
6302 SW Lee Blvd
Lawton, OK 73505-9103
Phone
(580) 248-8481
Fax
(580) 248-8481
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Sam Ghosn
Title
Administrator
Phone
(580) 248-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7520 OK Primary

Addresses

Primary practice location

6302 SW Lee Blvd
Lawton, OK 73505-9103

Mailing address

6302 SW Lee Blvd
Lawton, OK 73505-9103
Phone (580) 248-8481

Other identifiers 1

IdentifierTypeStateIssuer
100262360AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 21, 2023 Change of OwnershipThis provider was the seller A Path of Care Home Health VII LLCCCN 377569, OK, NPI 1386423861

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1245343326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059103",
            "telephone_number": "580-248-8481",
            "fax_number": "580-248-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059103",
            "telephone_number": "580-248-8481",
            "fax_number": "580-248-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GHOSN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-248-8481"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.