1841854114 NPI number — OKLAHOMA FAMILY CHOICE HOME HEALTHCARE INC

Table of content: (NPI 1841854114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841854114 NPI number — OKLAHOMA FAMILY CHOICE HOME HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OKLAHOMA FAMILY CHOICE HOME HEALTHCARE INC
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:
FAMILY CHOICE HOME CARE
Provider Other Organization Name Type Code:
3
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:
1841854114
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6803 S WESTERN AVE STE 400
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:
73139-1814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-205-9810
Provider Business Mailing Address Fax Number:
405-212-4414

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 W 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELK CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73644-4608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-225-4140
Provider Business Practice Location Address Fax Number:
580-225-4102
Provider Enumeration Date:
04/23/2019

Additional Information

Authorized Official

Authorized Official Last Name:
JOSEPH
Authorized Official First Name:
FINNY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
405-205-9810

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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