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1063307338 NPI number — ALL SAINTS HOME MEDICAL LLC

NPI Number: 1063307338
Health Care Provider/Practitioner: ALL SAINTS HOME MEDICAL LLC

Information about “1063307338” NPI (ALL SAINTS HOME MEDICAL LLC) exists in 1063307338 in HTML format HTML  |  1063307338 in plain Text format TXT  |  1063307338 in PDF (Portable Document Format) PDF  |  1063307338 in an XML format XML  formats.

NPI Number : 1063307338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063307338",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALL SAINTS HOME MEDICAL LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5402 S 129TH EAST AVE STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74134-6706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-624-4400",
    "MailingAddressFaxNumber": "918-624-4469",
    "FirstLinePracticeLocationAddress": "3729 W OKMULGEE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUSKOGEE",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-684-2770",
    "PracticeLocationAddressFaxNumber": "918-684-2772",
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "06/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAGE",
    "AuthorizedOfficialFirstName": "DEBORAH",
    "AuthorizedOfficialMiddleName": "DENISE",
    "AuthorizedOfficialTitle": "SENIOR VP, CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "918-494-8418",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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