Provider Demographics
NPI:1205072618
Name:CAMEO HOME CARE INC.
Entity type:Organization
Organization Name:CAMEO HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:918-649-4074
Mailing Address - Street 1:27096 HWY 59 N
Mailing Address - Street 2:SUITE C
Mailing Address - City:SHADY POINT
Mailing Address - State:OK
Mailing Address - Zip Code:74956
Mailing Address - Country:US
Mailing Address - Phone:918-963-2160
Mailing Address - Fax:918-963-2182
Practice Address - Street 1:27096 HWY 59 N
Practice Address - Street 2:SUITE C
Practice Address - City:SHADY POINT
Practice Address - State:OK
Practice Address - Zip Code:74956
Practice Address - Country:US
Practice Address - Phone:918-963-2160
Practice Address - Fax:918-963-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7948302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37-7765OtherMEDICARE IDENTIFICATION NUMBER
OK1205072618Medicare NSC