Provider Demographics
NPI:1467015909
Name:NUMBER ONE SERVICES
Entity Type:Organization
Organization Name:NUMBER ONE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMETRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:HCA
Authorized Official - Phone:918-576-6817
Mailing Address - Street 1:5525 E 51ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7465
Mailing Address - Country:US
Mailing Address - Phone:918-576-6817
Mailing Address - Fax:918-561-6365
Practice Address - Street 1:5525 E 51ST ST STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7465
Practice Address - Country:US
Practice Address - Phone:918-576-6817
Practice Address - Fax:918-561-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1467015909Medicaid