Active NPI
Durant Hma Home Health, LLC
- Home Health Agency
- Durant, OK
National Provider Identifier
1396792909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7117
- Legal business name
- DURANT HMA HOME HEALTH, LLC
- Practice address
- 1400 Bryan Dr
Ste 211
Durant, OK 74701-2156 - Phone
- (580) 920-8040
- Fax
- (580) 920-8095
- NPI assigned
- May 28, 2006
- 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
- Laurie J Holtsford
- Title
- Authorized Official
- Phone
- (615) 465-7466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7117 | OK | Primary |
Addresses
Primary practice location
1400 Bryan Dr
Ste 211
Durant, OK 74701-2156
Mailing address
1400 Bryan Dr
Ste 211
Durant, OK 74701-2156
Phone (580) 920-8040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100696610A | Medicaid | OK | |
| 000377078001 | Other | OK | OK BC HOME HEALTH |
Other names 1
- Medical Center of Southeastern Oklahoma Home Health
National Provider Directory
National Provider DirectoryLocations
1400 Bryan Dr
Ste 200
Durant, OK 74701
Phone (580) 920-1575
1727 Chuckwa Dr
Ste 301
Durant, OK 74701
Phone (877) 717-9687
1610 W University Blvd
Unit B
Durant, OK 74701
Phone (580) 920-8040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1396792909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "STE 211",
"city": "DURANT",
"state": "OK",
"postal_code": "747012156",
"telephone_number": "580-920-8040",
"fax_number": "580-920-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BRYAN DR",
"address_2": "STE 211",
"city": "DURANT",
"state": "OK",
"postal_code": "747012156",
"telephone_number": "580-920-8040",
"fax_number": "580-920-8095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURANT HMA HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-465-7466"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "7117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100696610A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BC HOME HEALTH",
"identifier": "000377078001",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center of Southeastern Oklahoma Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.