Healthcare Provider Details

I. General information

NPI: 1639255342
Provider Name (Legal Business Name): BIOS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E DEWEY AVE
SAPULPA OK
74066-4301
US

IV. Provider business mailing address

309 E DEWEY AVE
SAPULPA OK
74066-4301
US

V. Phone/Fax

Practice location:
  • Phone: 918-227-8390
  • Fax:
Mailing address:
  • Phone: 918-227-8390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateOK

VIII. Authorized Official

Name: MR. KIRK ELAM
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 918-227-8390