Provider Demographics
NPI:1043221534
Name:CARING HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:CARING HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:IHEKONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-942-8787
Mailing Address - Street 1:3838 NW 36TH ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2970
Mailing Address - Country:US
Mailing Address - Phone:405-942-8787
Mailing Address - Fax:405-942-8788
Practice Address - Street 1:3838 NW 36TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2970
Practice Address - Country:US
Practice Address - Phone:405-942-8787
Practice Address - Fax:405-942-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377696Medicare Oscar/Certification