Eton Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7812 Issued in OK

Legal business name

ETON HOME HEALTHCARE, INC.

Practice address

4706 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 459-9645

Fax

(918) 459-9647

NPI assigned

Nov 7, 2006

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chinyere N Ajalla, RN

Title

Administrator Supervising Nurse

Phone

(918) 459-9645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1952470551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-459-9645",
            "fax_number": "918-459-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-459-9645",
            "fax_number": "918-459-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETON HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "AJALLA",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR SUPERVISING NURSE",
        "authorized_official_telephone_number": "918-459-9645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.