Provider Demographics
NPI:1306976915
Name:HOME OPTIONS MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:HOME OPTIONS MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:JENEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:918-493-2727
Mailing Address - Street 1:6666 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1763
Mailing Address - Country:US
Mailing Address - Phone:918-493-2727
Mailing Address - Fax:918-493-2990
Practice Address - Street 1:6666 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1763
Practice Address - Country:US
Practice Address - Phone:918-493-2727
Practice Address - Fax:918-493-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2S445332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0467110001Medicare ID - Type UnspecifiedPROVIDER NUMBER
0467110001Medicare NSC