MEDICARE: GREATER DIMENSIONS HEALTH AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WA2000X	Administrator Registered Nurse
2	163WC0400X	Case Management Registered Nurse
3	163WC1500X	Community Health Registered Nurse
4	163WH0200X	Home Health Registered Nurse
5	164W00000X	Licensed Practical Nurse
6	374U00000X	Home Health Aide
7	376J00000X	Homemaker
8	376K00000X	Nurse's Aide
9	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1144388547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER DIMENSIONS HEALTH AGENCY

Provider Business Mailing Address
First Line	:	7812 DRIPPING SPRINGS LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73150-8326
Country	:	US
Telephone Number	:	405-386-7964
Fax Number	:

Provider Business Practice Location Address
First Line	:	7812 DRIPPING SPRINGS LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73150-8326
Country	:	US
Telephone Number	:	405-386-7964
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. LATRINA DION BENJAMIN-FRAZIER
Credential	:	RN
Telephone Number	:	405-386-7964

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	09/11/2025

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