White River Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHITE RIVER HOME HEALTH LLC

Practice address

2100 SE Washington St
Idabel, OK 74745-5449

Phone

(580) 286-2664

Fax

(580) 286-2929

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher W Johnson

Title

Member

Phone

(580) 286-2664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1932452497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE WASHINGTON ST",
            "address_2": "PO BOX 299",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455449",
            "telephone_number": "580-286-2664",
            "fax_number": "580-286-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455449",
            "telephone_number": "580-286-2664",
            "fax_number": "580-286-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "580-286-2664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Eugene Wallace, CADC
• Jon Christopher Webb, M.D.
• Michael Curtis West Jr., MD
• Gina Lynn Whisenhunt, LBP
• White River Home Health
• Catherine White, M.ED, LPC
• Krissika Faith Whittaker, LMSW
• Dennis Dale Whitten, MACJ, LADC, ICAADC
• William J Herron D.O P.C.
• Angela Williams-Smith

• Home Health Agency in Idabel, OK
• Providers in Idabel, 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 Oct 22, 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.