Indian Territory Home Health Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

239416 Issued in OK

Legal business name

INDIAN TERRITORY HOME HEALTH INC

Practice address

1000 E Main St
Suite 3
Tishomingo, OK 73460-2413

Phone

(580) 371-9151

NPI assigned

Jul 30, 2006

Organization subpart

Yes

Parent organization

INDIAN TERRITORY HOME HEALTH INCAs reported in NPPES

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

Authorized official

Name

Linda Moore

Title

Director

Phone

(580) 371-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indian Territory Durable Medical Equipment Doing business as

Part of

Indian Territory Home Health Inc

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1528073079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602413",
            "telephone_number": "580-371-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602413",
            "telephone_number": "580-371-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN TERRITORY HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIAN TERRITORY HOME HEALTH INC",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-371-9151"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "239416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262450C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Territory Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Ty Hull
• Jayne Hull
• Ranada Hulsey, LPC
• Indian Territory Health Services
• Indian Territory Home Health and Hospice Inc.
• Indian Territory Long Term Care, Inc.
• Indian Territory Long Term Care, Inc.
• Indian Territory Long Term Care, Inc.
• Daniel Floyd James, BS
• Michael B Johnson, DDS

• Durable Medical Equipment & Medical Supplies in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.