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OPTION 1 NUTRITION SOLUTIONS LLC NPI 1497831507


NPI Information

NPI: 1497831507
Provider Name: OPTION 1 NUTRITION SOLUTIONS LLC

Doing Business As: AVEANNA HEALTHCARE MEDICAL SOLUTIONS - OK

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
12101 E 51ST ST STE 106
TULSA, OK
ZIP 74146
Phone: (918) 252-2000
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OPTION 1 NUTRITION SOLUTIONS LLC is a durable medical equipment medical supplies in Tulsa, OK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OPTION 1 NUTRITION SOLUTIONS LLC NPI is 1497831507. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare Medical Solutions - Ok.

The provider's business location address is:

12101 E 51ST ST STE 106
TULSA, OK
ZIP 74146-018
Phone: (918) 252-2000
Fax: (918) 252-2007

The provider's authorized official is Shannon Drake .
The authorized official title is Chief Legal Officer and has the following contact phone number (470) 464-8000.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1731347232001OTHEROKLAHOMABCBS OF OK
2731347232OTHEROKLAHOMAOTHER PROVIDERS
3100260990BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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