Providence Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOME CARE LLC

Practice address

4334 NW Expressway
Suite 176
Oklahoma City, OK 73116-1578

Phone

(405) 602-3295

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Edwards

Title

Chief Executive Officer

Phone

(405) 602-3295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1700193562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY",
            "address_2": "SUITE 176",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161578",
            "telephone_number": "405-602-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY",
            "address_2": "SUITE 176",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161578",
            "telephone_number": "405-602-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-602-3295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospera Healthcare Oklahoma LLC
• Kiera R Proud, O.T.R.
• Nathan N. Proud, D.D.S.
• Tyler Jay Prouty
• Providence Family Practice, PLLC
• Provincial Home Care (Community Hospice of Oklahoma)
• Provision Cares Proton Center Okc, LLC
• Provision Medical Supplies, Inc.
• Jessica Rae Provost, APRN
• Maria Gabriella Prudhomme, NP

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, 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 Sep 1, 2010; 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.