Organization Active NPI

Humphrey Home Health LLC

Doing business as Humphrey Home Health

  • Home Health Agency
  • Lawton, OK
National Provider Identifier
1619761939
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUMPHREY HOME HEALTH LLC
Doing business as
Humphrey Home Health
Practice address
4202 SW Lee Blvd BLDG a Ste B
Lawton, OK 73505-8300
Phone
(580) 917-2561
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Dilan Humphrey
Title
Authorized Official
Phone
(580) 917-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4202 SW Lee Blvd BLDG a Ste B
Lawton, OK 73505-8300

Mailing address

4202 SW Lee Blvd BLDG a Ste B
Lawton, OK 73505-8300

Other names 1

  • Humphrey Home Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2336186Humphrey Home Health4202 SW Lee Blvd, BLDG a Ste B, Lawton, OK 73505Certificate of waiverDec 25, 2027

National Provider Directory

National Provider Directory

Locations

4202 SW Lee Blvd
Bldg A
Lawton, OK 73505
Phone (580) 355-8888

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1619761939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD BLDG A STE B",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD BLDG A STE B",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058300",
            "telephone_number": "580-917-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "DILAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "580-917-2561"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humphrey Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.