Provider Demographics
NPI:1083402523
Name:SENIOR CARE OF OKLAHOMA LLC
Entity type:Organization
Organization Name:SENIOR CARE OF OKLAHOMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-295-3282
Mailing Address - Street 1:815 N WACO AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3928
Mailing Address - Country:US
Mailing Address - Phone:316-295-3282
Mailing Address - Fax:
Practice Address - Street 1:12601 S MEMORIAL DR STE 4
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-1506
Practice Address - Country:US
Practice Address - Phone:918-770-6850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care