Healthcare Provider Details

I. General information

NPI: 1609874072
Provider Name (Legal Business Name): ALL SAINTS HOME MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 918-624-4400
  • Fax: 918-624-4469
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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberN/A
License Number StateOK

VIII. Authorized Official

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