Option 1 Nutrition Solutions LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203001287 Issued in IL

Legal business name

OPTION 1 NUTRITION SOLUTIONS LLC

Doing business as

Aveanna Healthcare Medical Solutions - IL

Practice address

945 SE 2ND St
Galva, IL 61434-1531

Phone

(309) 932-3000

Fax

(309) 932-3033

NPI assigned

Jan 13, 2011

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Buckhalter

Title

Cfo

Phone

(470) 464-8000

Specialties & licenses 1

Addresses

Other names 1

• Aveanna Healthcare Medical Solutions - IL Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1366747800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SE 2ND ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341531",
            "telephone_number": "309-932-3000",
            "fax_number": "309-932-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION 1 NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203001287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare Medical Solutions - IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tami Harker, F.N.P.
• Kevin M. Jeffries, M.D.
• Leslie Kleczek, D.M.D.
• David Morland
• Claudia Neuhalfen, DDS
• Osf Healthcare System (OSF Medical Group - Galva)
• Petersen Health Systems, Inc. (Courtyard Estates of Galva)
• Nicholas Joseph Podpeskar, OD
• William David Pool, OD
• Regional Family Health Center

• Durable Medical Equipment & Medical Supplies in Galva, IL
• Providers in Galva, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.