Provider Demographics
NPI:1629023072
Name:RAY OKE ENTERPRISES INC
Entity type:Organization
Organization Name:RAY OKE ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-474-4110
Mailing Address - Street 1:2828 S MCCALL RD
Mailing Address - Street 2:UNIT 40
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-7791
Mailing Address - Country:US
Mailing Address - Phone:941-474-4110
Mailing Address - Fax:941-474-5716
Practice Address - Street 1:2828 S MCCALL RD
Practice Address - Street 2:UNIT 40
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-7791
Practice Address - Country:US
Practice Address - Phone:941-474-4110
Practice Address - Fax:941-474-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA20328096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-7771Medicare ID - Type Unspecified