Organization Active NPI

Texoma Senior Care LLC

  • In Home Supportive Care Agency
  • Durant, OK
National Provider Identifier
1548027394
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TEXOMA SENIOR CARE LLC
Practice address
3010 Enterprise Dr Ste E1
Durant, OK 74701-2136
Phone
(580) 360-0400
Fax
(580) 754-2185
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Johanna White, BSN, RN
Title
Owner
Phone
(580) 360-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3010 Enterprise Dr Ste E1
Durant, OK 74701-2136

Mailing address

3010 Enterprise Dr Ste E1
Durant, OK 74701-2136
Phone (580) 360-0400

Other names 1

  • Visiting Angels of Southeast Oklahoma Other name

National Provider Directory

National Provider Directory

Locations

3010 Enterprise Dr
Ste E1
Durant, OK 74701
Phone (580) 360-0400

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1548027394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 ENTERPRISE DR STE E1",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012136",
            "telephone_number": "580-360-0400",
            "fax_number": "580-754-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ENTERPRISE DR STE E1",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012136",
            "telephone_number": "580-360-0400",
            "fax_number": "580-754-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-360-0700",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Southeast Oklahoma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.