Active NPI
Intrepid Home Care of Oklahoma
- Home Health Agency
- Edmond, OK
National Provider Identifier
1578026183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTREPID HOME CARE OF OKLAHOMA
- Practice address
- 500 W 15TH St Ste 3
Edmond, OK 73013-3640 - Phone
- (405) 920-5038
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Leigh Sharp
- Title
- Administrator
- Phone
- (405) 920-5038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
500 W 15TH St Ste 3
Edmond, OK 73013-3640
Mailing address
500 W 15TH St Ste 3
Edmond, OK 73013-3640
Phone (405) 920-5038
National Provider Directory
National Provider DirectoryLocations
500 W 15th St
Ste 3
Edmond, OK 73013
Phone (405) 920-5038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1578026183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 15TH ST STE 3",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133640",
"telephone_number": "405-920-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 15TH ST STE 3",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133640",
"telephone_number": "405-920-5038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTREPID HOME CARE OF OKLAHOMA",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A",
"authorized_official_last_name": "SHARP",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "405-920-5038"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.