1538300520 NPI number — SLEEPCAIR INC

Table of content: (NPI 1538300520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538300520 NPI number — SLEEPCAIR INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEPCAIR INC
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:
Provider Other Organization Name Type Code:
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:
1538300520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14333 W 95TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LENEXA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66215-5210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-438-8200
Provider Business Mailing Address Fax Number:
913-438-8223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3411 NE RALPH POWELL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEES SUMMIT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64064-2361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-525-6565
Provider Business Practice Location Address Fax Number:
816-525-2032
Provider Enumeration Date:
03/20/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BLEVINS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
913-438-8200

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100459200A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 626065809 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 32779014 . This is a "BCBS OF KC" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".