My Brothers Keeper Services Unlimited, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7862 Issued in OK

Legal business name

MY BROTHERS KEEPER SERVICES UNLIMITED, INC.

Practice address

3790 S Elm PL
Suite 202
Broken Arrow, OK 74011-1803

Phone

(918) 622-3800

Fax

(918) 622-1574

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Neal Carson

Title

Administrator

Phone

(918) 622-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angelic Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1528239019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 S ELM PL",
            "address_2": "SUITE 202",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111803",
            "telephone_number": "918-622-3800",
            "fax_number": "918-622-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 S ELM PL",
            "address_2": "SUITE 202",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111803",
            "telephone_number": "918-622-3800",
            "fax_number": "918-622-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHERS KEEPER SERVICES UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-622-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P TAN",
            "identifier": "377727",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.