Ok4 Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OK4 HOME HEALTH AGENCY LLC

Doing business as

Outreach Home Health

Practice address

2303 S York St
Muskogee, OK 74403-8876

Phone

(918) 682-6400

NPI assigned

May 3, 2016

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac Dole

Title

Manager/Principal

Phone

(773) 645-9246

Specialties & licenses 1

Addresses

Other names 1

• Outreach Home Health Doing business as

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1558716084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038876",
            "telephone_number": "918-682-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038876",
            "telephone_number": "918-682-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK4 HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER/PRINCIPAL",
        "authorized_official_telephone_number": "773-645-9246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dare M Oganla
• Jimmy Keith Ogden, APRN, DC
• Dena Marie Ohl, PTA
• Ok4 Broadway Opco LLC (Broadway Manor Nursing Home)
• Ok4 Eastgate Opco LLC (Eastgate Village Retirement Center)
• Ok4 Hospice LLC (Hometown Hospice)
• Okc Dental Health Associates, P.C. (MyDentist-Muskogee)
• Okie Pain Clinic Inc
• Okie State Emergency Physicians, LLC
• Oklahoma CVS Pharmacy, L.L.C. (CVS Pharmacy #10437)

• Home Health Agency in Muskogee, OK
• Providers in Muskogee, 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 Oct 29, 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.