Providence Excel Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CSS0016 Issued in OK

Legal business name

PROVIDENCE EXCEL HOME CARE

Practice address

4845 S Sheridan Rd Ste 502
Tulsa, OK 74145-5719

Phone

(918) 794-4334

Fax

(918) 794-4344

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Amos O. Adesokan, RN BSN

Title

Administrator

Phone

(918) 625-4797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1982905436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD STE 502",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455719",
            "telephone_number": "918-794-4334",
            "fax_number": "918-794-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD STE 502",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455719",
            "telephone_number": "918-794-4334",
            "fax_number": "918-794-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE EXCEL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "ADESOKAN",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-625-4797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "CSS0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Gene Prough, MD
• Provectus Diagnostics LLC
• Tina Marie Provence
• Monica A Provenzano
• Providence Counseling and Consulting LLC
• Providence MRI Associates
• Providence Radiology
• Providence RX Inc
• Providentia LLC
• Providentia LLC

• Home Health Agency in Tulsa, OK
• Providers in Tulsa, 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 Nov 15, 2010; 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.