NPIMap

Organization Active NPI

Christian Companion Senior Care of Tulsa LLC

  • In Home Supportive Care Agency
  • Tulsa, OK
National Provider Identifier
1376787028
Registry record updated Apr 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7835 Issued in OK
Legal business name
CHRISTIAN COMPANION SENIOR CARE OF TULSA LLC
Practice address
3015 E Skelly Dr
Suite # 253
Tulsa, OK 74105-6317
Phone
(918) 394-2272
Fax
(918) 392-4007
NPI assigned
Apr 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2009

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

Authorized official

Name
Mr. Keith Edward Huckabone
Title
General Manager
Phone
(918) 394-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7835 OK Primary

Addresses

Primary practice location

3015 E Skelly Dr
Suite # 253
Tulsa, OK 74105-6317

Mailing address

3015 E Skelly Dr
Suite # 253
Tulsa, OK 74105-6317
Phone (918) 394-2272

National Provider Directory

National Provider Directory

Locations

3015 E Skelly Dr
Ste 253
Tulsa, OK 74105
Phone (918) 394-2272

NPI Registry JSON

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

{
    "created_epoch": "1240617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240617600000",
    "number": "1376787028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE # 253",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-394-2272",
            "fax_number": "918-392-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE # 253",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-394-2272",
            "fax_number": "918-392-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMPANION SENIOR CARE OF TULSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-25",
        "last_updated": "2009-04-25",
        "status": "A",
        "authorized_official_last_name": "HUCKABONE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "918-394-2272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OK",
            "license": "7835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; 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.