1497832893 NPI number — VENERATE HOME HEALTH EXPRESS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497832893 NPI number — VENERATE HOME HEALTH EXPRESS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VENERATE HOME HEALTH EXPRESS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497832893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5131 N CLASSEN BLVD STE 208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73118-5258
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-607-4400
Provider Business Mailing Address Fax Number:
405-607-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5131 N CLASSEN BLVD STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73118-5258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-607-4400
Provider Business Practice Location Address Fax Number:
405-607-4464
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ONWUCHURUBA
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
CHIDINMA
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
405-607-4400

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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