Provider Demographics
NPI:1619948510
Name:PATIENTS FIRST MEDICAL EQUIPMENT OF WEST GEORGIA, LLC
Entity Type:Organization
Organization Name:PATIENTS FIRST MEDICAL EQUIPMENT OF WEST GEORGIA, LLC
Other - Org Name:SLEEP REMEDY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-444-0690
Mailing Address - Street 1:111 ERICK ST STE 108
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-1312
Mailing Address - Country:US
Mailing Address - Phone:815-444-0690
Mailing Address - Fax:
Practice Address - Street 1:111 ERICK ST STE 108
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-1312
Practice Address - Country:US
Practice Address - Phone:815-444-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203001132332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4789250001Medicare NSC