Organization Active NPI

Durant Hma Home Health, LLC

  • Home Health Agency
  • Durant, OK
National Provider Identifier
1396792909
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7117 Issued in OK
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

Updated by the provider on Jul 17, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100696610AMedicaidOK
000377078001OtherOKOK BC HOME HEALTH

Other names 1

  • Medical Center of Southeastern Oklahoma Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.