MEDICARE: PATIENCE HOME HEALTH CARE 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	251E00000X	Home Health Agency	HC8027	OK

General Provider Information

NPI Number	:	1457788408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENCE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	5400 NW 23RD ST
Second Line	:	SUITE 204
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2367
Country	:	US
Telephone Number	:	405-604-0373
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 NW 23RD ST
Second Line	:	SUITE 204
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2367
Country	:	US
Telephone Number	:	405-604-0373
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MR. KEHDINGA NUKUNA
Credential	:
Telephone Number	:	405-604-0373

Provider Enumeration Date	:	10/06/2013
Last Update Date	:	03/10/2026

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