Outreach Health Services of Oklahoma, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OUTREACH HEALTH SERVICES OF OKLAHOMA, LLC

Doing business as

Outreach Health Services

Practice address

1302B SW Lee Blvd
Lawton, OK 73501-5610

Phone

(580) 355-1870

Fax

(580) 355-1877

NPI assigned

Jul 25, 2014

Organization subpart

Yes

Parent organization

OUTREACH HEALTH CARE, INCAs reported in NPPES

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

Authorized official

Name

Rebecca Williams

Title

Corporate Legal Manager

Phone

(512) 692-7839

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Outreach Health Services Doing business as

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1649688391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 RENNER PKWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801316",
            "telephone_number": "512-692-7839",
            "fax_number": "972-792-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302B SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735015610",
            "telephone_number": "580-355-1870",
            "fax_number": "580-355-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 NW 64th St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731161693",
            "country_code": "US",
            "telephone_number": "405-256-2998",
            "fax_number": "405-917-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "OK",
            "postal_code": "747433312",
            "country_code": "US",
            "telephone_number": "405-256-2998",
            "fax_number": "405-917-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTREACH HEALTH SERVICES OF OKLAHOMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTREACH HEALTH CARE, INC",
        "enumeration_date": "2014-07-25",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CORPORATE LEGAL MANAGER",
        "authorized_official_telephone_number": "512-692-7839"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE DEPARTMENT OF HEALTH",
            "identifier": "HC8071",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Outreach Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lawton, OK
• Providers in Lawton, 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 Apr 24, 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.

Verify at the official NPI Registry.