MEDICARE: FOCUS HOME MEDICAL 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2077112	OTHER		PK

General Provider Information

NPI Number	:	1770675266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS HOME MEDICAL INC

Provider Business Mailing Address
First Line	:	11212 N MAY AVE STE 104
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6335
Country	:	US
Telephone Number	:	405-376-6119
Fax Number	:	405-376-6117

Provider Business Practice Location Address
First Line	:	11212 N MAY AVE STE 104
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6335
Country	:	US
Telephone Number	:	405-376-6119
Fax Number	:	405-376-6117

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETH ORTON
Credential	:
Telephone Number	:	405-376-6119

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	03/25/2025

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