Provider Demographics
NPI:1508357245
Name:CPAP SUPPLIES & SERVICES LLC
Entity Type:Organization
Organization Name:CPAP SUPPLIES & SERVICES LLC
Other - Org Name:CPAP SUPPLIES & SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JOLEEN
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:785-289-3188
Mailing Address - Street 1:512 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3146
Mailing Address - Country:US
Mailing Address - Phone:785-289-3188
Mailing Address - Fax:785-783-3599
Practice Address - Street 1:2905 SW GAGE BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2927
Practice Address - Country:US
Practice Address - Phone:785-289-3188
Practice Address - Fax:785-783-3599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CPAP SUPPLIES & SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS16-02084227800000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty