Provider Demographics
NPI:1225139561
Name:RESPIRATORY SLEEP ASSOCIATES
Entity Type:Organization
Organization Name:RESPIRATORY SLEEP ASSOCIATES
Other - Org Name:TOTAL RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTORY, PRESIDENT, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-670-2470
Mailing Address - Street 1:1720 27TH CT S
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-1852
Mailing Address - Country:US
Mailing Address - Phone:205-871-1977
Mailing Address - Fax:205-871-2295
Practice Address - Street 1:2900 CENTRAL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-2506
Practice Address - Country:US
Practice Address - Phone:205-871-1977
Practice Address - Fax:205-871-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL06022206332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009927485Medicaid
AL009927485Medicaid