Provider Demographics
NPI:1295183523
Name:TOTAL RESPIRATORY AND REHAB, INC.
Entity Type:Organization
Organization Name:TOTAL RESPIRATORY AND REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-281-4443
Mailing Address - Street 1:5950 S 118TH CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4426
Mailing Address - Country:US
Mailing Address - Phone:402-933-0400
Mailing Address - Fax:402-933-8400
Practice Address - Street 1:2112 W VISTA ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5918
Practice Address - Country:US
Practice Address - Phone:402-933-0400
Practice Address - Fax:402-933-8400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL RESPIRATORY AND REHAB, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment