MEDICARE: HOME HEALTH AGENCY OKLAHOMA CITY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	7085	OK

General Provider Information

NPI Number	:	1366424244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH AGENCY OKLAHOMA CITY INC

Provider Business Mailing Address
First Line	:	5400 N GRAND BLVD
Second Line	:	STE 145
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5692
Country	:	US
Telephone Number	:	405-942-1223
Fax Number	:	405-942-1224

Provider Business Practice Location Address
First Line	:	5400 N GRAND BLVD
Second Line	:	STE 145
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5692
Country	:	US
Telephone Number	:	405-942-1223
Fax Number	:	405-942-1224

Authorized Official
Title or Position	:	EVP
Name	:	WALTER TRACY CLARK
Credential	:
Telephone Number	:	954-753-4883

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	02/05/2008

Similar Medicare Providers

1326030107 — DR. LEE R. CENTRACCO DDS
Practice Location Address:

5400 N GRAND BLVD , STE 150
OKLAHOMA CITY, OK
73112-5692

Practice Phone: 405-946-5198
Practice Fax: 405-946-9378

1962981076 — LUIS GABRIEL COLON FLORES MD
Practice Location Address:

4705 CENTER BLVD APT 1904
LONG ISLAND CITY, NY
11109-5692

Practice Phone: 787-692-6685
Practice Fax:

1023765674 — JESSICA ALVAREZ RN
Practice Location Address:

4705 CENTER BLVD APT 1813
LONG ISLAND CITY, NY
11109-5692

Practice Phone: 718-926-1593
Practice Fax:

1619729704 — DENTAL PROFESSIONALS OF OKLAHOMA, PC
Practice Location Address:

138 SW 134TH ST STE C
OKLAHOMA CITY, OK
73170-1490

Practice Phone: 405-378-5692
Practice Fax: 405-759-2754

1770301038 — ELENA MARIE GARCIA PA-C
Practice Location Address:

700 NE 13TH ST
OKLAHOMA CITY, OK
73104-5004

Practice Phone: 405-271-4700
Practice Fax:

1639173669 — DR. MARK LAWRENCE MAZOW M.D.
Practice Location Address:

7777 FOREST LANE , SUITE C-710
DALLAS, TX
75230-2571

Practice Phone: 972-566-2020
Practice Fax: 972-566-5454

Directions to “HOME HEALTH AGENCY OKLAHOMA CITY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.