1285786277 NPI number — ARETE SLEEP LLC

Table of content: (NPI 1285786277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285786277 NPI number — ARETE SLEEP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARETE SLEEP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PHOENIX SLEEP, LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285786277
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6263 N SCOTTSDALE RD
Provider Second Line Business Mailing Address:
SUITE 395
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85250-5406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-282-6500
Provider Business Mailing Address Fax Number:
480-282-6600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1343 N ALMA SCHOOL RD
Provider Second Line Business Practice Location Address:
SUITE 265
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-5941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-282-6560
Provider Business Practice Location Address Fax Number:
480-282-6660
Provider Enumeration Date:
01/18/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FEDOR
Authorized Official First Name:
MARC
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
480-282-6512

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  3424 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 821935 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".