Healthcare Provider Details

I. General information

NPI: 1831029776
Provider Name (Legal Business Name): PRINCIPLE CHOICE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7919 MID AMERICA BLVD STE 240
OKLAHOMA CITY OK
73135-6618
US

IV. Provider business mailing address

7919 MID AMERICA BLVD STE 240
OKLAHOMA CITY OK
73135-6618
US

V. Phone/Fax

Practice location:
  • Phone: 405-400-2273
  • Fax: 405-870-1400
Mailing address:
  • Phone: 405-400-2273
  • Fax: 405-870-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AMY CARBAJAL
Title or Position: PCS COO/PCH PRINCIPAL
Credential:
Phone: 405-400-2273