Supra Home Care Of Tulsa

LBN: Supra Home Care, Inc.
Supra Home Care Of Tulsa is an health care organization with primary practice located at 11333 E Pine St Suite 10A, Tulsa OK 74116-2023. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Supra Home Care, Inc. can be contacted via phone (918) 493-1100, or through Butler, Larry via phone (504) 837-5557.

Contact Information

Primary practice address
11333 E Pine St Suite 10A Tulsa OK 74116-2023
Phone: (918) 493-1100
Fax: (918) 437-3529
Website:
Map and Directions
Authorized official contact:
Name: Butler, Larry
Phone: (504) 837-5557

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 7147 Oklahoma

Profile Details

NPI number 1306878947
LBN Legal business name Supra Home Care, Inc.
DBA Doing business as Supra Home Care Of Tulsa
Authorized official Butler, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306878947 NPPES
Oklahoma MEDICAID 100260570A

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