Provider Demographics
NPI:1407858236
Name:FOCUS RESPIRATORY LLC
Entity Type:Organization
Organization Name:FOCUS RESPIRATORY LLC
Other - Org Name:FOCUS RESPIRATORY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-441-8876
Mailing Address - Street 1:2330 W BROADWAY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-1886
Mailing Address - Country:US
Mailing Address - Phone:480-830-7700
Mailing Address - Fax:480-750-2000
Practice Address - Street 1:11811 I ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1227
Practice Address - Country:US
Practice Address - Phone:402-991-1950
Practice Address - Fax:402-991-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3392332B00000X, 332BX2000X, 3336C0003X, 3336S0011X
NE3017332B00000X, 332BX2000X, 3336C0003X, 3336S0011X
3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE3017OtherNEBRASKA PHARMACY
IA3392OtherIOWA PHARMACY
IA0547398Medicaid
IA0547398Medicaid
NE=========00Medicaid
NE3017OtherNEBRASKA PHARMACY
IA4247320001Medicare NSC
NE1407858236Medicaid
4247320001Medicare NSC