Provider Demographics
NPI:1013953819
Name:ASSISTANCE AT HOME, INC.
Entity Type:Organization
Organization Name:ASSISTANCE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-324-5711
Mailing Address - Street 1:PO BOX 850560
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73085-0560
Mailing Address - Country:US
Mailing Address - Phone:405-324-5711
Mailing Address - Fax:405-324-5470
Practice Address - Street 1:709 S MUSTANG RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6778
Practice Address - Country:US
Practice Address - Phone:405-324-5711
Practice Address - Fax:405-324-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherPACIFICARE/SECURE HORIZON