Provider Demographics
NPI:1003035544
Name:DIGITRACE CARE SERVICES INC
Entity Type:Organization
Organization Name:DIGITRACE CARE SERVICES INC
Other - Org Name:SLEEPMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE & ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-536-7400
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:
Practice Address - Street 1:3299 WOODBURN RD
Practice Address - Street 2:SUITE 250-A
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1275
Practice Address - Country:US
Practice Address - Phone:703-876-9870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA85970002OtherCARE FIRST
VA292359OtherMDIPA
7618325OtherAETNA
VA85970001OtherCARE FIRST
P00793802OtherRAILROAD MEDICARE
VA292359OtherOPTIMUM CHOICE
VA360115OtherANTHEM
MD520537OtherCARE FIRST
VA659561OtherSOUTHERN HEALTH
MD85TZDIOtherCARE FIRST
VA292359OtherMAMSI
MD419630OtherCARE FIRST
VA292359OtherONENET PPO
VA360115OtherANTHEM
VA85970001OtherCARE FIRST