MEDICARE: ALL SAINTS HOME MEDICAL L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BN1400X	Nursing Facility Supplies (DME)
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	332BX2000X	Oxygen Equipment & Supplies (DME)
5	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1902220684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL SAINTS HOME MEDICAL L.L.C.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE
Second Line	:	SUITE 400
City	:	TULSA
State	:	OK
Zip	:	74136-3347
Country	:	US
Telephone Number	:	918-494-2483
Fax Number	:	918-494-2475

Provider Business Practice Location Address
First Line	:	3401 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-6904
Country	:	US
Telephone Number	:	404-858-0097
Fax Number	:	405-858-0119

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. BARRY L STEICHEN
Credential	:
Telephone Number	:	918-494-1330

Provider Enumeration Date	:	02/14/2014
Last Update Date	:	02/14/2014

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