Provider Demographics
NPI:1558897132
Name:ALPHA HOMEHEALTH OF OKC LLC
Entity Type:Organization
Organization Name:ALPHA HOMEHEALTH OF OKC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-848-3505
Mailing Address - Street 1:2828 NW 57TH ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6814
Mailing Address - Country:US
Mailing Address - Phone:915-848-3505
Mailing Address - Fax:405-848-3515
Practice Address - Street 1:2828 NW 57TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6814
Practice Address - Country:US
Practice Address - Phone:915-848-3505
Practice Address - Fax:405-848-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion