Provider Demographics
NPI:1073582045
Name:S-Q HOME CARE SPECIALTIES INC
Entity Type:Organization
Organization Name:S-Q HOME CARE SPECIALTIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUAYE
Authorized Official - Suffix:
Authorized Official - Credentials:RNC
Authorized Official - Phone:918-251-0070
Mailing Address - Street 1:2400 N HEMLOCK CIR
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-1171
Mailing Address - Country:US
Mailing Address - Phone:918-251-0070
Mailing Address - Fax:918-258-9229
Practice Address - Street 1:2400 N HEMLOCK CIR
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1171
Practice Address - Country:US
Practice Address - Phone:918-251-0070
Practice Address - Fax:918-258-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7670163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100648690HMedicaid
OK100648690AMedicaid
OK100648690EMedicaid
OK100648690GMedicaid
OK100648690DMedicaid
OK100648690FMedicaid
OK100648690JMedicaid
OK100648690BMedicaid
OK100648690CMedicaid
OK100648690IMedicaid
OK100648690IMedicaid
OK100648690AMedicaid