Healthcare Provider Details

I. General information

NPI: 1750215869
Provider Name (Legal Business Name): YCIOP HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 E DANFORTH RD STE 160E
EDMOND OK
73034-4483
US

IV. Provider business mailing address

307 E DANFORTH RD STE 160E
EDMOND OK
73034-4483
US

V. Phone/Fax

Practice location:
  • Phone: 405-916-0564
  • Fax: 405-652-0304
Mailing address:
  • Phone: 405-916-0564
  • Fax: 405-652-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SOLANGE RUTH CLERY-WELLS
Title or Position: MANAGER/OWNER
Credential:
Phone: 405-916-0564