MEDICARE: CHERYL HOOPER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	HC8199	OK

General Provider Information

NPI Number	:	1356223135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL HOOPER

Provider Business Mailing Address
First Line	:	PO BOX 850493
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73085-0493
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 S MORGAN RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73128-7005
Country	:	US
Telephone Number	:	405-673-4255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	07/23/2025

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Directions to “ CHERYL HOOPER ” Practice Location

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