Provider Demographics
NPI:1235675471
Name:HOME CARE CPAP
Entity Type:Organization
Organization Name:HOME CARE CPAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRABOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-235-1468
Mailing Address - Street 1:4401 S WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-6966
Mailing Address - Country:US
Mailing Address - Phone:405-235-1468
Mailing Address - Fax:405-235-1476
Practice Address - Street 1:4401 S WALKER AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-6966
Practice Address - Country:US
Practice Address - Phone:405-235-1468
Practice Address - Fax:405-235-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies