Healthcare Provider Details

I. General information

NPI: 1891920211
Provider Name (Legal Business Name): COMPASSION HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E MAIN ST STE D
STIGLER OK
74462-2541
US

IV. Provider business mailing address

901 E MAIN ST STE D
STIGLER OK
74462-2541
US

V. Phone/Fax

Practice location:
  • Phone: 918-967-1001
  • Fax: 918-967-1005
Mailing address:
  • Phone: 918-967-1001
  • Fax: 918-967-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DEREK LANE
Title or Position: SENIOR VP OF OPERATIONS & FINANCES
Credential:
Phone: 918-448-7336