SUPRA HOME CARE OF TULSA
NPI 1306878947
Home Health in Tulsa, OK

Q: What is Supra Home Care, Inc.'s NPI number?

The NPI number for Supra Home Care, Inc. is 1306878947. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Supra Home Care Of Tulsa.

Q: What is Supra Home Care, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 06, 2006

11333 E PINE ST, SUITE 10A, TULSA, OK 74116(918) 493-1100(918) 437-3529 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Supra Home Care Of Tulsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRA HOME CARE OF TULSA (NPI 1306878947) is a healthcare organization registered as a home health in Tulsa, Oklahoma and active in the NPI registry since July 2006. The organization lists Larry Butler, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306878947

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSUPRA HOME CARE, INC.

Location Address11333 E PINE ST, SUITE 10ATulsa, OK 74116-2023

Mailing AddressPo Box 6588Metairie, LA 70009-6588 · (504) 837-5557 · Fax (504) 833-3466

Phone(918) 493-1100

Fax(918) 437-3529

Organization SubpartNo

Authorized OfficialLarry ButlerPresident/ceo · (504) 837-5557

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 8, 2011

✔ NPI 1306878947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in OK · 7147

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

11333 E PINE ST, Tulsa, OK 74116

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Other Names 1

Doing Business AsSupra Home Care Of Tulsa

Other Identifiers 2

Medicaid100260570AOK

Medicare ID-Type Unspecified377189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supra Home Care, Inc.'s NPI number?

The NPI number for Supra Home Care, Inc. is 1306878947. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Supra Home Care Of Tulsa.

Where is Supra Home Care, Inc. located?

Supra Home Care, Inc. is located at 11333 E Pine St Suite 10A, Tulsa, OK 74116. The listed phone number is (918) 493-1100.

What is Supra Home Care, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Supra Home Care, Inc. was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.