1508357245 NPI number — CPAP SUPPLIES & SERVICES LLC

Table of content: (NPI 1508357245)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508357245 NPI number — CPAP SUPPLIES & SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CPAP SUPPLIES & SERVICES 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:
CPAP SUPPLIES & SERVICES LLC
Provider Other Organization Name Type Code:
3
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:
1508357245
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
512 SW 6TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66603-3146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-289-3188
Provider Business Mailing Address Fax Number:
785-783-3599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2905 SW GAGE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614-2927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-289-3188
Provider Business Practice Location Address Fax Number:
785-783-3599
Provider Enumeration Date:
05/29/2018

Additional Information

Authorized Official

Authorized Official Last Name:
GREENE
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
JOLEEN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
785-289-3188

Provider Taxonomy Codes

  • Taxonomy code: 227800000X , with the licence number:  16-02084 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 16-02084 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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