Provider Demographics
NPI:1598054629
Name:RESPIRA, INC.
Entity Type:Organization
Organization Name:RESPIRA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-373-7747
Mailing Address - Street 1:521 PROGRESS DR
Mailing Address - Street 2:SUITES A-C
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2241
Mailing Address - Country:US
Mailing Address - Phone:443-200-0055
Mailing Address - Fax:443-200-0054
Practice Address - Street 1:4928 LOUISE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4800
Practice Address - Country:US
Practice Address - Phone:866-373-7747
Practice Address - Fax:800-948-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA8000001901332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4072470002Medicare NSC