OPTION 1 NUTRITION SOLUTIONS LLC NPI 1871509489

NPI Information

NPI: 1871509489
Provider Name: OPTION 1 NUTRITION SOLUTIONS, LLC

Doing Business As: AVEANNA HEALTHCARE MEDICAL SOLUTIONS

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
2460 E GERMANN RD.
SUITE 18
CHANDLER, AZ
ZIP 85286
Phone: (480) 883-1188
Get Directions

OPTION 1 NUTRITION SOLUTIONS, LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Chandler, AZ. OPTION 1 NUTRITION SOLUTIONS, LLC NPI is 1871509489. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare Medical Solutions.

The provider's business location address is:

2460 E GERMANN RD.
SUITE 18
CHANDLER, AZ
ZIP 85286
Phone: (480) 883-1188
Fax: (480) 883-1193

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 8/1/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	492009	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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