Provider Demographics
NPI:1457788408
Name:PATIENCE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PATIENCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEHDINGA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUKUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-604-0373
Mailing Address - Street 1:5400 NW 23RD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-2367
Mailing Address - Country:US
Mailing Address - Phone:405-604-0373
Mailing Address - Fax:
Practice Address - Street 1:5400 NW 23RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-2367
Practice Address - Country:US
Practice Address - Phone:405-604-0373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-06
Last Update Date:2013-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHC8027251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health