Provider Demographics
NPI:1033190699
Name:OKOJIE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:OKOJIE HEALTHCARE, INC.
Other - Org Name:OHC, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IGUADE
Authorized Official - Middle Name:GODWIN
Authorized Official - Last Name:OKOJIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:410-242-0750
Mailing Address - Street 1:1716 SULPHUR SPRING RD
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2538
Mailing Address - Country:US
Mailing Address - Phone:410-242-0750
Mailing Address - Fax:410-242-0751
Practice Address - Street 1:1716 SULPHUR SPRING RD
Practice Address - Street 2:
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-2538
Practice Address - Country:US
Practice Address - Phone:410-242-0750
Practice Address - Fax:410-242-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2189332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD694544OtherNCPPO
MD404944600Medicaid
MD102289OtherJHHC
MD404944600Medicaid
MD=========OtherFEDERAL TEIN