Healthcare Provider Details

I. General information

NPI: 1588982714
Provider Name (Legal Business Name): HOME HEALTH PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 S 113TH WEST AVE STE C
SAND SPRINGS OK
74063-2720
US

IV. Provider business mailing address

3505 S 113TH WEST AVE STE C
SAND SPRINGS OK
74063-2720
US

V. Phone/Fax

Practice location:
  • Phone: 918-245-3223
  • Fax: 918-245-3773
Mailing address:
  • Phone: 918-245-3223
  • Fax: 918-245-3773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number7914
License Number StateOK

VIII. Authorized Official

Name: MRS. DEBORAH K CUPPS
Title or Position: REGIONAL MANAGER
Credential: RN,CWS,HCS-D,COS-C
Phone: 918-344-6650