MEDICARE: HOPE ALZHEIMERS OKC 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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1700748332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE ALZHEIMERS OKC LLC

Provider Business Mailing Address
First Line	:	3300 NW 56TH ST STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4530
Country	:	US
Telephone Number	:	405-516-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 NW 56TH ST STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4530
Country	:	US
Telephone Number	:	405-516-4673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT EARL LONG
Credential	:
Telephone Number	:	405-516-4673

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	03/11/2026

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