Provider Demographics
NPI:1861468266
Name:HOME HEALTH WAREHOUSE LLC
Entity Type:Organization
Organization Name:HOME HEALTH WAREHOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:GARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-307-1359
Mailing Address - Street 1:12206 E 51ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6231
Mailing Address - Country:US
Mailing Address - Phone:918-307-1359
Mailing Address - Fax:918-307-1696
Practice Address - Street 1:12206 E 51ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-6231
Practice Address - Country:US
Practice Address - Phone:918-307-1359
Practice Address - Fax:918-307-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2-D-1114332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200067060AMedicaid
OK200067060AMedicaid