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Option 1 Nutrition Solutions LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Galva, IL

NPI 1366747800 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1366747800
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
203001287 (IL)
Legal business name
OPTION 1 NUTRITION SOLUTIONS LLC
Practice address
945 SE 2ND St
Galva, IL 61434-1531
Phone
(309) 932-3000
Fax
(309) 932-3033
NPI assigned
Jan 13, 2011
Organization subpart
No

Authorized official

Name
Matthew Buckhalter
Title
Cfo
Phone
(470) 464-8000

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2030005Aveanna Healthcare - Il
945 SE 2ND St, Galva, IL 61434		Certificate of waiverSep 19, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203001287 IL Yes

Addresses

Primary practice location

945 SE 2ND St
Galva, IL 61434-1531

Mailing address

400 Interstate North Pkwy SE
Suite 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000

Other names

  • Aveanna Healthcare Medical Solutions - IL Doing business as

Other providers in Galva, IL

All providers in Galva, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.