MEDICARE: INHOME CONNECT OF OKLAHOMA LLC

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1407706047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INHOME CONNECT OF OKLAHOMA LLC

Provider Business Mailing Address
First Line	:	7240 CHASE OAKS BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-5901
Country	:	US
Telephone Number	:	469-873-3437
Fax Number	:	214-291-5297

Provider Business Practice Location Address
First Line	:	720 BRYAN DR STE 106
Second Line	:
City	:	DURANT
State	:	OK
Zip	:	74701-7032
Country	:	US
Telephone Number	:	844-999-9019
Fax Number	:	888-736-6686

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. KELLY MITCHELL
Credential	:
Telephone Number	:	972-517-6300

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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