Active NPI
Home Care Squad, LLC.
- In Home Supportive Care Agency
- Oklahoma City, OK
National Provider Identifier
1831950435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HOME CARE SQUAD, LLC.
- Practice address
- 3000 United Founders Blvd Ste 105
Oklahoma City, OK 73112-4358 - Phone
- (405) 855-1050
- NPI assigned
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabih A Mehdi
- Title
- Owner
- Phone
- (405) 855-1050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3000 United Founders Blvd Ste 105
Oklahoma City, OK 73112-4358
Mailing address
11109 Springhollow CT
Oklahoma City, OK 73120-5057
Phone (405) 514-4336
National Provider Directory
National Provider DirectoryLocations
3000 United Founders Blvd
Ste 105
Oklahoma City, OK 73112
Phone (405) 855-1050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1831950435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 SPRINGHOLLOW CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205057",
"telephone_number": "405-514-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 UNITED FOUNDERS BLVD STE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124358",
"telephone_number": "405-855-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE SQUAD, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "MEHDI",
"authorized_official_first_name": "RABIH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-855-1050"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.