Healthcare Provider Details

I. General information

NPI: 1760345789
Provider Name (Legal Business Name): XTRAMILES HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2488 E 81ST ST STE 4807
TULSA OK
74137-4290
US

IV. Provider business mailing address

1604 W GALVESTON ST
BROKEN ARROW OK
74012-8315
US

V. Phone/Fax

Practice location:
  • Phone: 918-740-4732
  • Fax:
Mailing address:
  • Phone: 918-740-4732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FELICIA ONOME MICHAELS
Title or Position: CEO
Credential:
Phone: 918-740-4732