Aveanna Healthcare Medical Solutions

LBN: Option 1 Northwest Enteral, Llc
Aveanna Healthcare Medical Solutions is an health care organization with primary practice located at 7926 Sw Nimbus Ave Suite 8-D, Beaverton OR 97008-6435. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Option 1 Northwest Enteral, Llc can be contacted via phone (866) 883-1188, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
7926 Sw Nimbus Ave Suite 8-D Beaverton OR 97008-6435
Phone: (866) 883-1188
Fax: (503) 624-6713
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1912101783
LBN Legal business name Option 1 Northwest Enteral, Llc
DBA Doing business as Aveanna Healthcare Medical Solutions
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Sep 8th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912101783 NPPES
Oregon MEDICAID 272405

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