Organization Active NPI

Enhanced Mobile Wound Care LLC

  • Point of Service
  • Edmond, OK
National Provider Identifier
1821845587
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ENHANCED MOBILE WOUND CARE LLC
Practice address
15105 Crown at Lone Oak Rd Ste 200
Edmond, OK 73013-2258
Phone
(405) 763-7333
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Andrea Holley
Title
President
Phone
(405) 763-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

15105 Crown at Lone Oak Rd Ste 200
Edmond, OK 73013-2258

Mailing address

15105 Crown at Lone Oak Rd Ste 200
Edmond, OK 73013-2258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1821845587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 CROWN AT LONE OAK RD STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 CROWN AT LONE OAK RD STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132258",
            "telephone_number": "405-763-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED MOBILE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-763-7333"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.