Provider Demographics
NPI:1407167935
Name:EXPRESS HOME HELP, INC.
Entity Type:Organization
Organization Name:EXPRESS HOME HELP, INC.
Other - Org Name:ACCENTRA HOME HEALTH - WESTERN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-840-7775
Mailing Address - Street 1:2028 E MEMORIAL RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5515
Mailing Address - Country:US
Mailing Address - Phone:405-840-7775
Mailing Address - Fax:
Practice Address - Street 1:615 24TH AVE SW STE B
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3983
Practice Address - Country:US
Practice Address - Phone:405-722-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377688Medicare UPIN