Active NPI
At Home Care MHT LLC
- Family Medicine Physician
- Bethany, OK
National Provider Identifier
1417366352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AT HOME CARE MHT LLC
- Practice address
- 7530 NW 23Rd St
Bethany, OK 73008-4921 - Phone
- (855) 860-2109
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 5, 2014
- 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
- Joseph Broome, M.D.
- Title
- Owner
- Phone
- (405) 420-6570
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OK | Primary |
Addresses
Primary practice location
7530 NW 23Rd St
Bethany, OK 73008-4921
Mailing address
1515 Heritage Drive
Suite 110
McKinney, TX 75069-3379
Phone (855) 860-2109
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Bethany, OK
- NPI 1306817887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407196800000",
"number": "1417366352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HERITAGE DRIVE",
"address_2": "SUITE 110",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693379",
"telephone_number": "855-860-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 NW 23RD ST",
"city": "BETHANY",
"state": "OK",
"postal_code": "730084921",
"telephone_number": "855-860-2109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME CARE MHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A",
"authorized_official_last_name": "BROOME",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-420-6570",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.