Provider Demographics
NPI:1053020677
Name:ABIDING HOME HEALTH OF GREATER OKLAHMOA
Entity type:Organization
Organization Name:ABIDING HOME HEALTH OF GREATER OKLAHMOA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:CASE
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-607-2302
Mailing Address - Street 1:4323 NW 63RD ST STE 235
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1520
Mailing Address - Country:US
Mailing Address - Phone:866-403-0901
Mailing Address - Fax:866-403-3123
Practice Address - Street 1:4323 NW 63RD ST STE 235
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1520
Practice Address - Country:US
Practice Address - Phone:866-403-0901
Practice Address - Fax:866-403-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health