Home Health Agency Oklahoma City Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7085 Issued in OK

Legal business name

HOME HEALTH AGENCY OKLAHOMA CITY INC

Practice address

5400 N Grand Blvd
Ste 145
Oklahoma City, OK 73112-5692

Phone

(405) 942-1223

Fax

(405) 942-1224

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Walter Tracy Clark

Title

Evp

Phone

(954) 753-4883

Specialties & licenses 1

Addresses

Other names 1

• Omni Home Care of Oklahoma Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1366424244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N GRAND BLVD",
            "address_2": "STE 145",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125692",
            "telephone_number": "405-942-1223",
            "fax_number": "405-942-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N GRAND BLVD",
            "address_2": "STE 145",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125692",
            "telephone_number": "405-942-1223",
            "fax_number": "405-942-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY OKLAHOMA CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "954-753-4883"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Home Care of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Care Cpap
• Home Care Medical LLC
• Home Care Medical, LLC
• Home Care Pharmacy
• Home Care Squad, LLC.
• Home Helpers Home Care of Yukon, Ok 59152
• Home Integration Inc
• Home Respiratory Services Inc
• Homer Clark Hyde MD, PC
• Carol Le Homer, PA

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.