Healthcare Provider Details

I. General information

NPI: 1063307338
Provider Name (Legal Business Name): ALL SAINTS HOME MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3729 W OKMULGEE AVE
MUSKOGEE OK
74401
US

IV. Provider business mailing address

5402 S 129TH EAST AVE STE D
TULSA OK
74134-6706
US

V. Phone/Fax

Practice location:
  • Phone: 918-684-2770
  • Fax: 918-684-2772
Mailing address:
  • Phone: 918-624-4400
  • Fax: 918-624-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SCOTT OWSIAK
Title or Position: SYSTEM DIRECTOR
Credential:
Phone: 918-940-1605