Active NPI
Thanh Hoang
- In Home Supportive Care Agency
- Broken Arrow, OK
National Provider Identifier
1629600093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC8114
- Practice address
- 2448 W New Orleans St
Broken Arrow, OK 74011-1590 - Phone
- (918) 286-4980
- Fax
- (918) 286-4970
- NPI assigned
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | HC8114 | OK | |
| Home Health Aide | 374U00000X | HC8114 | OK | |
| In Home Supportive Care Agency | 253Z00000X | HC8114 | OK | Primary |
Addresses
Primary practice location
2448 W New Orleans St
Broken Arrow, OK 74011-1590
Mailing address
2801 W Gary St
Broken Arrow, OK 74012-7599
Phone (918) 688-4846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC8114 | Other | OK | STATE OF OKLAHOMA DEPT OF HEALTH LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC8114 | OK | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusting Hands LLC | Current | Accepting new patients |
Locations
2448 W New Orleans St
Broken Arrow, OK 74011
Phone (918) 286-4980
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1306471693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1629600093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W GARY ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127599",
"telephone_number": "918-688-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 W NEW ORLEANS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111590",
"telephone_number": "918-286-4980",
"fax_number": "918-286-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "THANH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "OK",
"license": "HC8114",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OK",
"license": "HC8114",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OK",
"license": "HC8114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OKLAHOMA DEPT OF HEALTH LICENSE NUMBER",
"identifier": "HC8114",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.