Provider Demographics
NPI:1982325486
Name:KHRONIC HELPERZ LLC
Entity Type:Organization
Organization Name:KHRONIC HELPERZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANTELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-362-6399
Mailing Address - Street 1:1415 NW 43RD ST STE 104
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-5027
Mailing Address - Country:US
Mailing Address - Phone:844-394-4362
Mailing Address - Fax:405-444-3014
Practice Address - Street 1:1415 NW 43RD ST STE 104
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5027
Practice Address - Country:US
Practice Address - Phone:844-394-4362
Practice Address - Fax:405-444-3014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIVERSITY HEALTH AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF0610518Medicaid
OK1790418283Medicaid
OK1558675074Medicaid
OK71708Medicaid