NPI Code Details Logo

NPI 1366366213

NPI 1366366213 : ONE - USA : DEMOTTE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366366213
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ONE - USA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/05/2026
-----------------------------------------------------
    Last Update Date     |    08/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7180 ACORN LN 
-----------------------------------------------------
    City                 |    DEMOTTE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46310-8321
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    219-837-8181
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5534 SAINT JOE RD 
-----------------------------------------------------
    City                 |    FORT WAYNE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46835-3328
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    219-837-8181
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXEC. DIRECTOR
-----------------------------------------------------
    Name                 |    MR. MICHAEL  STRAUSS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    212-198-3781
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.