MEDICARE: PRINCIPLE CHOICE HOME HEALTHCARE

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

General Provider Information

NPI Number	:	1457077133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCIPLE CHOICE HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	7919 MID AMERICA BLVD STE 240
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6618
Country	:	US
Telephone Number	:	405-400-2273
Fax Number	:	405-870-4000

Provider Business Practice Location Address
First Line	:	7919 MID AMERICA BLVD STE 240
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6618
Country	:	US
Telephone Number	:	405-400-2273
Fax Number	:	405-870-4000

Authorized Official
Title or Position	:	PCS COO/PCH PRINCIPAL
Name	:	AMY CARBAJAL
Credential	:
Telephone Number	:	405-400-2273

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	03/09/2026

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