PROFESSIONAL HOME HEALTH CARE INC (NPI# 1740247113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740247113 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HOME HEALTH CARE INC |
| Practice Address |
109 N Blake Wagoner OK 74467 |
| Mailing Address |
10301 E 51 St. Suite C Tulsa OK 74146-5808 |
| Practice Telephone | 9184858565 |
| Practice Fax Number | 9184858779 |
| Mailing Telephone | 9182704950 |
| Mailing Fax Number | 9182704952 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | MR. ELISAQ KAYE SANDERS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9182704950 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100808980A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199306 | Professional Home Health Care Inc | Home Health | 1040 S 8th St, Suite 201, Colorado Springs, CO 80905-7364 | 2005-07-27 |
| 1932122835 | Professional Home Health Care Inc | Home Health | 211 N 2nd St, Stilwell, OK 74960 | 2006-07-25 |
| 1720018534 | Professional Home Health Care Inc | Home Health | 345 Westpark Way, Suite 101, Euless, TX 76040-3936 | 2006-07-04 |
| Street Address |
109 N BLAKE |
| City | WAGONER |
| State | OK |
| Zip Code | 74467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590780 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 410 S Dewey Ave, Wagoner, OK 74467-5500 | 2006-07-16 |
| 1568637650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1305 W Cherokee St, Wagoner, OK 74467-4625 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1962013938 | Oklahoma Sleep Group LLC | Durable Medical Equipment & Medical Supplies | 2900 Nw 156th St, Edmond, OK 73013-2102 | 2020-08-13 |
| 1912516469 | Nature's Assist, LLC | Durable Medical Equipment & Medical Supplies | 4815 S Harvard Ave Ste 501, Tulsa, OK 74135-3069 | 2020-07-29 |
| 1144838392 | A Better Sleep LLC | Durable Medical Equipment & Medical Supplies | 5215 E 71st St Ste 1900, Tulsa, OK 74136-6347 | 2020-07-14 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1023632122 | Craig Mathew Hall | Durable Medical Equipment & Medical Supplies | 2540 N Moore Ave, Moore, OK 73160-3328 | 2020-06-04 |
| 1083236269 | Kareemah Mahasan Muhammad | Durable Medical Equipment & Medical Supplies | 1127 N Osage Dr, Tulsa, OK 74106-6909 | 2020-05-11 |
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1679193882 | Lil Dme LLC | Durable Medical Equipment & Medical Supplies | 20 E 9th St Ste 101, Shawnee, OK 74801-6987 | 2020-04-17 |
| 1609405950 | Alpine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 738 E 8th St, Warner, OK 74469-7446 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.