Provider Demographics
NPI:1013202209
Name:CPAP SUPPLIES & SERVICES LLC
Entity Type:Organization
Organization Name:CPAP SUPPLIES & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JOLEEN
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:785-221-7744
Mailing Address - Street 1:512 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3146
Mailing Address - Country:US
Mailing Address - Phone:785-289-3188
Mailing Address - Fax:785-783-3599
Practice Address - Street 1:512 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603
Practice Address - Country:US
Practice Address - Phone:785-289-3188
Practice Address - Fax:785-783-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1602084332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS7074750001Medicare NSC