Provider Demographics
NPI:1205392990
Name:ACUTE RESPIRATORY SERVICES 'LLC'
Entity Type:Organization
Organization Name:ACUTE RESPIRATORY SERVICES 'LLC'
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:BRUNACHE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-588-4701
Mailing Address - Street 1:6524 COMPASS ROSE CT
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6427
Mailing Address - Country:US
Mailing Address - Phone:954-588-4701
Mailing Address - Fax:
Practice Address - Street 1:6524 COMPASS ROSE CT
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6427
Practice Address - Country:US
Practice Address - Phone:954-588-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL737679Medicaid