Provider Demographics
NPI:1831109537
Name:DIGITRACE CARE SERVICES, INC.
Entity Type:Organization
Organization Name:DIGITRACE CARE SERVICES, INC.
Other - Org Name:SLEEPMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP COMPLIANCE & CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUFUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-309-2000
Mailing Address - Street 1:200 CORPORATE PL
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3840
Mailing Address - Country:US
Mailing Address - Phone:978-536-7400
Mailing Address - Fax:978-535-9757
Practice Address - Street 1:17001 SCIENCE DR
Practice Address - Street 2:SUITE 109
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715
Practice Address - Country:US
Practice Address - Phone:301-731-7880
Practice Address - Fax:301-731-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD252927OtherMDIPA
MD7618325OtherAETNA
MD102822OtherKAISER
MD4900042OtherCAPITAL COMM HEALTH
MD8011510OtherCIGNA
VA85970001OtherCARE FIRST
MD85TZDIOtherCARE FIRST
MDMT35OtherBCBS
MD071500009Medicaid
MD252927OtherMAMSI
MD252927OtherALLIANCE
MD419630OtherCARE FIRST
MD520537OtherCARE FIRST
MD135001OtherANTHEM BCBS - PIN
VA85970002OtherCARE FIRST
MD252927OtherOPTIMUM
MD8011510OtherCIGNA
VA85970001OtherCARE FIRST