Organization Active NPI

Southwestern Home Health, Inc.

  • Home Health Agency
  • Lawton, OK
National Provider Identifier
1962431619
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7748 Issued in OK
Legal business name
SOUTHWESTERN HOME HEALTH, INC.
Practice address
1908 E Gore Blvd
Ste a
Lawton, OK 73501-6128
Phone
(580) 248-7060
Fax
(580) 248-6442
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Mrs. Frances L Fite, RN
Title
Owner/Administrator
Phone
(580) 248-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7748 OK Primary

Addresses

Primary practice location

1908 E Gore Blvd
Ste a
Lawton, OK 73501-6128

Mailing address

1908 E Gore Blvd
Ste a
Lawton, OK 73501-6128
Phone (580) 248-7060

Other identifiers 1

IdentifierTypeStateIssuer
200019560AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Health Watch Health Care of SW Oklahoma LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1914 E Gore Blvd
Ste A
Lawton, OK 73501
Phone (580) 248-7060

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 8, 2016 Change of OwnershipThis provider was the seller Southwestern Home HealthCCN 377659, TN, NPI 1598127185

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1962431619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 E GORE BLVD",
            "address_2": "STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016128",
            "telephone_number": "580-248-7060",
            "fax_number": "580-248-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 E GORE BLVD",
            "address_2": "STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016128",
            "telephone_number": "580-248-7060",
            "fax_number": "580-248-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "FITE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "580-248-7060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.