Provider Demographics
NPI:1336195312
Name:KPAR INVESTMENTS, LLC
Entity Type:Organization
Organization Name:KPAR INVESTMENTS, LLC
Other - Org Name:CYPRESS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDRA
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:RAULSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:580-317-9333
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-4250
Mailing Address - Country:US
Mailing Address - Phone:580-317-9333
Mailing Address - Fax:580-317-9366
Practice Address - Street 1:2816 E JACKSON ST STE B
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-4250
Practice Address - Country:US
Practice Address - Phone:580-317-9333
Practice Address - Fax:580-317-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7817251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377699Medicare Oscar/Certification