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HOME RUN HEALTHCARE
NPI 1568957348
Family Medicine - Geriatric Medicine in Idabel, OK

Active since June 25, 2018CLIA 37D2151070 · Waiver
1425 EAST LINCOLN ROAD, SUITE A-3, IDABEL, OK 74745(580) 212-7237 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Home Run Healthcare NPPES

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

HOME RUN HEALTHCARE (NPI 1568957348) is a healthcare organization registered as a geriatric medicine in Idabel, Oklahoma and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Ashlei Jobe, President, as its authorized official.

NPPES Registry Identity

NPI1568957348
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameHOME RUN HEALTHCARE
Location Address1425 EAST LINCOLN ROAD, SUITE A-3Idabel, OK 74745
Mailing AddressPo Box 51Garvin, OK 74736-0051 · (580) 212-7237
Phone(580) 212-7237
Organization SubpartNo
Authorized OfficialAshlei JobePresident · (580) 212-7237
Enumeration DateJune 25, 2018
✔ NPI 1568957348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1425 EAST LINCOLN ROAD, Idabel, OK 74745
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Other Identifiers 1

Medicaid1679013676OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Run Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Home Run Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ashlei Jobe
Nurse Practitioner
NPI 1679013676
1301 E LINCOLN RD
Idabel, OK 74745
(580) 286-7623
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2151070

Home Run Healthcare · Idabel, OK
Active · expires Jul 10, 2028
CLIA Number37D2151070
Laboratory TypePractitioner Other
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorAshlei L. Jobe
Laboratory Phone(580) 212-7237
Laboratory LocationHome Run Healthcare1425 E Lincoln Rd, Suite A-3, Idabel, OK 74745
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Home Run Healthcare's NPI number?

The NPI number for Home Run Healthcare is 1568957348. It was assigned to this organization in the NPPES registry on June 25, 2018.

Where is Home Run Healthcare located?

Home Run Healthcare is located at 1425 East Lincoln Road Suite A-3, Idabel, OK 74745. The listed phone number is (580) 212-7237.

What is Home Run Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Home Run Healthcare enrolled in Medicare?

Yes. Home Run Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home Run Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Home Run Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Home Run Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2151070) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Home Run Healthcare was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.