Healthcare Provider Details

I. General information

NPI: 1518879170
Provider Name (Legal Business Name): NORA'S MEDICAL FOSTER CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7454 E 2ND ST
TULSA OK
74112-2106
US

IV. Provider business mailing address

7454 E 2ND ST
TULSA OK
74112-2106
US

V. Phone/Fax

Practice location:
  • Phone: 918-402-6568
  • Fax:
Mailing address:
  • Phone: 918-402-6568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DAVELL L JONES
Title or Position: CARE PROVIDER
Credential: RN
Phone: 918-402-6568