Organization
HEALTHCARE INNOVATIONS IN-HOME SERVICES OF OKLAHOMA CITY , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA HERRERA (PRESIDENT /ADMINISTARTOR)
(903) 537-8629
Entity
Organization
Contact information
Practice address
4300 HIGHLINE BLVD, SUITE C280, OKLAHOMA CITY, OK 73108-1830
(405) 949-9984
(405) 949-0121
Mailing address
4300 HIGHLINE BLVD, SUITE 380, OKLAHOMA CITY, OK 73108-1830
(405) 949-9984
(405) 949-0121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7611
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-7648
MEDICARE P-TAN
OK
Enumeration date
04/09/2012
Last updated
05/20/2020
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