Provider Demographics
NPI: | 1962093575 |
---|---|
Name: | ENTIRE SLEEP SOLUTIONS LLC |
Entity type: | Organization |
Organization Name: | ENTIRE SLEEP SOLUTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PROVIDER/PROVIDER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KIM |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | FARKAS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 480-356-7517 |
Mailing Address - Street 1: | 10515 E THORITE CIR |
Mailing Address - Street 2: | |
Mailing Address - City: | MESA |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85212-8921 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 480-356-7517 |
Mailing Address - Fax: | 602-588-0688 |
Practice Address - Street 1: | 1426 N MARVIN ST |
Practice Address - Street 2: | |
Practice Address - City: | GILBERT |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85233-2565 |
Practice Address - Country: | US |
Practice Address - Phone: | 480-356-7517 |
Practice Address - Fax: | 602-585-0688 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-01-27 |
Last Update Date: | 2024-01-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic | |
No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health | Group - Single Specialty |
No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Single Specialty |
No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Single Specialty |
No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Single Specialty |