Provider Demographics
NPI:1902542012
Name:OXFORD HOMECARE LLC
Entity Type:Organization
Organization Name:OXFORD HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ONUORAH
Authorized Official - Last Name:IKEAGU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:984-232-4478
Mailing Address - Street 1:943 W ANDREWS AVE STE K
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2587
Mailing Address - Country:US
Mailing Address - Phone:125-243-0376
Mailing Address - Fax:
Practice Address - Street 1:943 W ANDREWS AVE STE K
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2587
Practice Address - Country:US
Practice Address - Phone:984-232-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care