Healthcare Provider Details

I. General information

NPI: 1467956599
Provider Name (Legal Business Name): MAYS HOUSECALL HOME HEALTH OF NORTH CENTRAL OK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N MORTON AVE
OKMULGEE OK
74447-7318
US

IV. Provider business mailing address

321 N CENTRAL EXPY STE 360
MCKINNEY TX
75070-3552
US

V. Phone/Fax

Practice location:
  • Phone: 918-752-0234
  • Fax: 918-752-0271
Mailing address:
  • Phone: 903-706-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7085
License Number StateOK

VIII. Authorized Official

Name: CHERIE ELLEDGE
Title or Position: CEO
Credential:
Phone: 817-771-2277