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J K AT HOME NPI 1811607690


NPI Information

NPI: 1811607690
Provider Name: J K AT HOME

Doing Business As: HAPPY AT HOME

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2237 W MEMORIAL RD STE 112
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 808-3714
Get Directions

J K AT HOME is a geriatric medicine family medicine in Oklahoma City, OK. The provider is 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. J K AT HOME NPI is 1811607690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Happy At Home.

The provider's business location address is:

2237 W MEMORIAL RD STE 112
OKLAHOMA CITY, OK
ZIP 73134-064
Phone: (405) 808-3714

The provider's authorized official is Jillian Herndon .
The authorized official title is Owner and has the following contact phone number (405) 808-3714.

The enumeration date for this NPI number is 12/1/2022 and was last updated on 4/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201149220AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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