Organization Active NPI

Ponca City Homecare Services Inc.

Doing business as At Home Medical of Ponca City

  • Home Infusion Therapy Pharmacy
  • Ponca City, OK
National Provider Identifier
1487694816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
6-5084 Issued in OK
Legal business name
PONCA CITY HOMECARE SERVICES INC.
Doing business as
At Home Medical of Ponca City
Practice address
1900 N 14TH St
Ponca City, OK 74601-2035
Phone
(580) 765-8155
Fax
(580) 763-4549
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Alice Rosewitz
Title
Coo
Phone
(580) 765-8155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 6-5084 OK Primary

Addresses

Primary practice location

1900 N 14TH St
Ponca City, OK 74601-2035

Mailing address

1209 E Prospect Ave
Ponca City, OK 74601-1746
Phone (580) 765-8155

Other names 1

  • At Home Medical of Ponca City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ponca City Homecare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1209 E Prospect Ave
Ponca City, OK 74601
Phone (580) 765-8155

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487694816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E PROSPECT AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011746",
            "telephone_number": "580-765-8155",
            "fax_number": "580-763-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-8155",
            "fax_number": "580-763-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCA CITY HOMECARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEWITZ",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "580-765-8155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OK",
            "license": "6-5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Medical of Ponca City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.