Provider Demographics
NPI:1366882045
Name:WHHC I, LLC
Entity type:Organization
Organization Name:WHHC I, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARIAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-757-6901
Mailing Address - Street 1:115 PIEDMONT RD N
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73078-8996
Mailing Address - Country:US
Mailing Address - Phone:405-275-2700
Mailing Address - Fax:405-275-2701
Practice Address - Street 1:115 PIEDMONT RD N
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:OK
Practice Address - Zip Code:73078-8996
Practice Address - Country:US
Practice Address - Phone:405-376-8881
Practice Address - Fax:405-376-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHC8016251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377774Medicare Oscar/Certification