Provider Demographics
NPI:1023760923
Name:HISC TULSA INC. DBA HOME INSTEAD SENIOR CARE
Entity type:Organization
Organization Name:HISC TULSA INC. DBA HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GARREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-384-0980
Mailing Address - Street 1:4148 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3609
Mailing Address - Country:US
Mailing Address - Phone:918-384-0980
Mailing Address - Fax:
Practice Address - Street 1:4148 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3609
Practice Address - Country:US
Practice Address - Phone:918-384-0980
Practice Address - Fax:918-384-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891042776OtherVA