Active NPI
Healthcomp LTD
- Home Health Agency
- Edmond, OK
National Provider Identifier
1295962520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTHCOMP LTD
- Practice address
- 3500 S Boulevard
Suite a-2
Edmond, OK 73013-5486 - Phone
- (405) 340-5100
- Fax
- (405) 340-5109
- NPI assigned
- Jun 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benson W Alali
- Title
- President
- Phone
- (405) 340-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X |
Addresses
Primary practice location
3500 S Boulevard
Suite a-2
Edmond, OK 73013-5486
Mailing address
3500 S Boulevard
Suite a-2
Edmond, OK 73013-5486
Phone (405) 340-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100317000995 | OK | Part A Provider - Home Health Agency | 0143355081 | Practice locations: Edmond, OK |
Home health agency certification: CCN 377625
- Legal name
- HEALTHCOMP LTD
- Doing business as
- ALL FAITH HOMECARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 31, 1999
- Last certification
- Jan 31, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 5, 2009 in OK
- Enrollment address
- 3500 S. Boulevard
Suite a-2
Edmond, OK 73013-5830
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Allfaith Homecare
- Ownership
- Proprietary
- Certified
- Mar 31, 1999
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Allfaith Homecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Edmond, OK
- NPI 1952456931
Locations
3500 S Boulevard
Ste A2
Edmond, OK 73013
Phone (405) 340-5100
817 NE 63rd St
Oklahoma City, OK 73105
Phone (405) 254-5240
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Elsie Armstead-Green | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 25% |
| 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | ||
| Corporate Officer | Jan 1, 2009 | ||
| Julia Ann Young | W-2 Managing Employee | Mar 30, 2016 | |
| Lisa Wariboko | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 70% |
| Corporate Officer | Jan 1, 2018 | 70% | |
| Benson Wariboko | W-2 Managing Employee | Aug 1, 2009 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454025600000",
"number": "1295962520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S BOULEVARD",
"address_2": "SUITE A-2",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135486",
"telephone_number": "405-340-5100",
"fax_number": "405-340-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S BOULEVARD",
"address_2": "SUITE A-2",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135486",
"telephone_number": "405-340-5100",
"fax_number": "405-340-5109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCOMP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-12",
"last_updated": "2016-01-29",
"status": "A",
"authorized_official_last_name": "ALALI",
"authorized_official_first_name": "BENSON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-340-5100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Healing Designs PLLC
- Healing Hope and Harmony Counseling LLC
- Health Shoppe LLC
- Healthback Home Health, Inc.
- Healthcare Express, LLP
- Healthcrest Surgical Management, LLC
- Dennis Heaney, PA-C
- Hearing Care by Dr. David Hough
- Heart & Vascular Specialist of Oklahoma PLLC
- Heartland Christian Counseling, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.