NPIMap

Organization Active NPI

Bonny Crest Home Healthcare, Inc

  • Home Health Agency
  • Broken Arrow, OK
National Provider Identifier
1326289356
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BONNY CREST HOME HEALTHCARE, INC
Practice address
700 W Fort Worth St
Broken Arrow, OK 74012-3719
Phone
(918) 949-4555
Fax
(918) 933-5352
NPI assigned
Mar 21, 2009
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Ms. Chakakhan L Jones, BA, BS
Title
Administrator
Phone
(918) 949-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

700 W Fort Worth St
Broken Arrow, OK 74012-3719

Mailing address

700 W Fort Worth St
Broken Arrow, OK 74012-3719
Phone (918) 949-4555

Other practice location 1

3105 E Skelly Dr
Suite 205
Tulsa, OK 74105-6358
Phone (918) 949-4555

National Provider Directory

National Provider Directory

Locations

3105 E Skelly Dr
Ste 205
Tulsa, OK 74105
Phone (918) 949-4555

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1326289356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W FORT WORTH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123719",
            "telephone_number": "918-949-4555",
            "fax_number": "918-933-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W FORT WORTH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123719",
            "telephone_number": "918-949-4555",
            "fax_number": "918-933-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 E Skelly Dr",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741056358",
            "country_code": "US",
            "telephone_number": "918-949-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONNY CREST HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-21",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHAKAKHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-949-4555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.