Organization Active NPI

Home Care Squad, LLC.

  • In Home Supportive Care Agency
  • Oklahoma City, OK
National Provider Identifier
1831950435
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 21, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.