Provider Demographics
NPI:1730454000
Name:ADVOCATE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ADVOCATE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DIVINE
Authorized Official - Middle Name:BABILA
Authorized Official - Last Name:TITAJANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-242-2788
Mailing Address - Street 1:4501 N CLASSEN BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-4822
Mailing Address - Country:US
Mailing Address - Phone:405-242-2788
Mailing Address - Fax:405-242-2798
Practice Address - Street 1:4501 N CLASSEN BLVD
Practice Address - Street 2:STE 102
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4822
Practice Address - Country:US
Practice Address - Phone:405-242-2788
Practice Address - Fax:405-242-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7988251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health