Provider Demographics
NPI:1194941344
Name:RESPIRATORY AND MEDICAL SERVICES
Entity type:Organization
Organization Name:RESPIRATORY AND MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:907-345-7969
Mailing Address - Street 1:PO BOX 110963
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99511-0963
Mailing Address - Country:US
Mailing Address - Phone:907-345-7969
Mailing Address - Fax:
Practice Address - Street 1:5401 N STAR ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1045
Practice Address - Country:US
Practice Address - Phone:907-345-7969
Practice Address - Fax:907-345-7969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMS8040Medicaid
AKMS8040Medicaid