Provider Demographics
NPI:1659857308
Name:BIOS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BIOS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:918-227-8390
Mailing Address - Street 1:309 E DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4301
Mailing Address - Country:US
Mailing Address - Phone:918-227-8390
Mailing Address - Fax:918-227-1481
Practice Address - Street 1:121 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OK
Practice Address - Zip Code:74020-4614
Practice Address - Country:US
Practice Address - Phone:918-358-2483
Practice Address - Fax:918-358-2641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHC7167251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health