Provider Demographics
NPI:1164007894
Name:1 ENTERPRISES LLC
Entity Type:Organization
Organization Name:1 ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARTHENIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-219-3901
Mailing Address - Street 1:PO BOX 13597
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45413-0597
Mailing Address - Country:US
Mailing Address - Phone:937-219-3901
Mailing Address - Fax:
Practice Address - Street 1:1301 KIMMEL LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-6052
Practice Address - Country:US
Practice Address - Phone:937-219-3901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health