Provider Demographics
NPI:1215982228
Name:CPAP THERAPY AND SUPPLY, LLC
Entity type:Organization
Organization Name:CPAP THERAPY AND SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-452-4766
Mailing Address - Street 1:1315 ALHAMBRA BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5244
Mailing Address - Country:US
Mailing Address - Phone:916-452-4766
Mailing Address - Fax:916-452-4889
Practice Address - Street 1:1315 ALHAMBRA BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5244
Practice Address - Country:US
Practice Address - Phone:916-452-4766
Practice Address - Fax:916-452-4889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies