Self Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC7984 Issued in OK

Legal business name

SELF ENTERPRISES LLC

Practice address

4430 NW 50TH St
Suite N
Oklahoma City, OK 73112-2298

Phone

(405) 605-6064

Fax

(405) 605-6086

NPI assigned

Jan 28, 2013

Organization subpart

No

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

Authorized official

Name

Crystal Self

Title

Owner

Phone

(405) 605-6064

Specialties & licenses 1

Addresses

Other names 1

• OKC Right At Home Doing business as

Locations

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1255679148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 NW 50TH ST",
            "address_2": "SUITE N",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122298",
            "telephone_number": "405-605-6064",
            "fax_number": "405-605-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 NW 50TH ST",
            "address_2": "SUITE N",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122298",
            "telephone_number": "405-605-6064",
            "fax_number": "405-605-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-605-6064"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OK",
            "license": "HC7984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OKC Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings, Inc.
• Select Specialty Hospital - Oklahoma City Inc
• Select Therapy Source
• Kristi Lynn Selensky, LPC
• Kristi G Self, MD
• Michael Self, PA
• Stephen Daniel Selfridge I
• Brady Paul Selig, MD
• Burl Scotland Sellers III, B.S

• In Home Supportive Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• In Home Supportive Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.