Provider Demographics
NPI:1285735563
Name:AARONS HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:AARONS HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-534-0100
Mailing Address - Street 1:328 BARTLES RD
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:OK
Mailing Address - Zip Code:74029-2710
Mailing Address - Country:US
Mailing Address - Phone:918-534-0100
Mailing Address - Fax:918-534-0102
Practice Address - Street 1:328 BARTLES RD
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:OK
Practice Address - Zip Code:74029-2710
Practice Address - Country:US
Practice Address - Phone:918-534-0100
Practice Address - Fax:918-534-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200088510 AMedicaid
KS200400680 AMedicaid
OK5761340001Medicare NSC