MEDICARE: EMBERTON AND COMPANY HOME HEALTH, LLC

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	7615	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

General Provider Information

NPI Number	:	1659339992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBERTON AND COMPANY HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	3801 NW 63RD ST BLDG 1
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1900
Country	:	US
Telephone Number	:	405-418-4777
Fax Number	:	405-753-4515

Provider Business Practice Location Address
First Line	:	3801 NW 63RD ST BLDG 1
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1900
Country	:	US
Telephone Number	:	405-418-4777
Fax Number	:	405-753-4515

Authorized Official
Title or Position	:	ADMIN
Name	:	JEFFERSON MBENGA
Credential	:
Telephone Number	:	405-418-4777

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/17/2026

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Directions to “EMBERTON AND COMPANY HOME HEALTH, LLC ” Practice Location

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