MEDICARE: SPECIALIZED HOME NURSING, INC.

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	251E00000X	Home Health Agency	7316	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376655670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED HOME NURSING, INC.

Provider Business Mailing Address
First Line	:	7125 S BRADEN AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-6302
Country	:	US
Telephone Number	:	918-481-8111
Fax Number	:	918-481-8110

Provider Business Practice Location Address
First Line	:	7125 S BRADEN AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-6302
Country	:	US
Telephone Number	:	918-481-8111
Fax Number	:	918-481-8110

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TERENCE LEONARD CAREY
Credential	:	M.D.
Telephone Number	:	918-481-8111

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/22/2025

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Directions to “SPECIALIZED HOME NURSING, INC. ” Practice Location

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