Provider Demographics
NPI:1750306668
Name:RESPIRONICS COLORADO, INC
Entity Type:Organization
Organization Name:RESPIRONICS COLORADO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVACY AND COMPLIANCE LEADER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-453-3414
Mailing Address - Street 1:12301 GRANT ST
Mailing Address - Street 2:UNIT 190
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3138
Mailing Address - Country:US
Mailing Address - Phone:030-453-3400
Mailing Address - Fax:303-453-3515
Practice Address - Street 1:14101 ROSECRANS AVE
Practice Address - Street 2:UNIT F
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-3550
Practice Address - Country:US
Practice Address - Phone:562-483-6805
Practice Address - Fax:562-483-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21-757689 0005 CH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01166GMedicaid
CA0375050008Medicare ID - Type Unspecified