Tickled Pink Foot Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

L0051752 Issued in OK

Legal business name

TICKLED PINK FOOT CARE LLC

Practice address

1491 Ash Holw
Catoosa, OK 74015-2201

Phone

(918) 407-8742

Fax

(918) 739-5074

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Tyler Benjamin Goins

Title

Owner

Phone

(918) 407-8742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1811232127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740150535",
            "telephone_number": "918-407-8742",
            "fax_number": "918-739-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 ASH HOLW",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152201",
            "telephone_number": "918-407-8742",
            "fax_number": "918-739-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICKLED PINK FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-407-8742"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OK",
            "license": "L0051752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Nursing Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.