Organization Active NPI

Professional Home Care of Garvin County Oklahoma Inc

  • Home Health Agency
  • Pauls Valley, OK
National Provider Identifier
1518969740
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7328 Issued in OK
Legal business name
PROFESSIONAL HOME CARE OF GARVIN COUNTY OKLAHOMA INC
Practice address
2510 W Grant Ave
Pauls Valley, OK 73075-9247
Phone
(405) 238-7563
Fax
(405) 238-5990
NPI assigned
Jun 1, 2005
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Mr. Tony Hovis
Title
Vice-President
Phone
(405) 238-7563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7328 OK Primary

Addresses

Primary practice location

2510 W Grant Ave
Pauls Valley, OK 73075-9247

Mailing address

2510 W Grant Ave
Pauls Valley, OK 73075-9247
Phone (405) 238-7563

National Provider Directory

National Provider Directory

Locations

2510 W Grant Ave
Pauls Valley, OK 73075
Phone (405) 238-7563

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1518969740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W GRANT AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730759247",
            "telephone_number": "405-238-7563",
            "fax_number": "405-238-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W GRANT AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730759247",
            "telephone_number": "405-238-7563",
            "fax_number": "405-238-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE OF GARVIN COUNTY OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "HOVIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "405-238-7563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.