Provider Demographics
NPI:1164132353
Name:SLEEP & RESCUE LLC
Entity Type:Organization
Organization Name:SLEEP & RESCUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-884-2400
Mailing Address - Street 1:9840 S 168TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1102
Mailing Address - Country:US
Mailing Address - Phone:402-884-2400
Mailing Address - Fax:
Practice Address - Street 1:9840 S 168TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1102
Practice Address - Country:US
Practice Address - Phone:402-884-2400
Practice Address - Fax:402-884-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty