Healthcare Provider Details

I. General information

NPI: 1407707516
Provider Name (Legal Business Name): HOME HELPERS HOME CARE OF YUKON, OK 59152
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 SW 134TH ST UNIT C
OKLAHOMA CITY OK
73170-1488
US

IV. Provider business mailing address

9305 NW 85TH ST
YUKON OK
73099-6055
US

V. Phone/Fax

Practice location:
  • Phone: 405-308-8790
  • Fax:
Mailing address:
  • Phone: 405-308-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAMEKA MARIE BENNETT
Title or Position: OPERATION MANAGER
Credential: RN
Phone: 405-924-2792