Provider Demographics
NPI:1922148121
Name:SLEEP CARE RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:SLEEP CARE RESPIRATORY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:623-533-5461
Mailing Address - Street 1:14535 W INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-9282
Mailing Address - Country:US
Mailing Address - Phone:623-533-5461
Mailing Address - Fax:
Practice Address - Street 1:14535 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 120
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-9282
Practice Address - Country:US
Practice Address - Phone:623-533-5461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5971330001Medicare NSC