HOME RUN HEALTHCARE – NPI #1568957348
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

HOME RUN HEALTHCARE is a provider located in IDABEL, OK. NPPES has assigned the NPI number 1568957348 to HOME RUN HEALTHCARE on June 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOME RUN HEALTHCARE below.

NPI Profile for
HOME RUN HEALTHCARE

NPI Number
1568957348
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOME RUN HEALTHCARE
Primary location
1425 EAST LINCOLN ROAD
SUITE A-3
IDABEL, OK 74745
Phone: (580) 212-7237 Fax:
Mailing address
PO BOX 51
GARVIN, OK 74736-0051
Phone: (580) 212-7237 Fax:
Organization Subpart
No
Authorized Official
ASHLEI JOBE
PRESIDENT
Phone: (580) 212-7237
Updated
Identifiers

Identifiers for HOME RUN HEALTHCARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK1679013676
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.