Provider Demographics
| NPI: | 1962093575 |
|---|---|
| Name: | ENTIRE SLEEP SOLUTIONS LLC |
| Entity type: | Organization |
| Organization Name: | ENTIRE SLEEP SOLUTIONS LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PROVIDER/PROVIDER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KIM |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | FARKAS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 480-356-7517 |
| Mailing Address - Street 1: | 10515 E THORITE CIR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MESA |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85212-8921 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-356-7517 |
| Mailing Address - Fax: | 602-588-0688 |
| Practice Address - Street 1: | 1426 N MARVIN ST |
| Practice Address - Street 2: | |
| Practice Address - City: | GILBERT |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85233-2565 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-356-7517 |
| Practice Address - Fax: | 602-585-0688 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-01-27 |
| Last Update Date: | 2024-01-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic | |
| No | 2279H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Home Health | Group - Single Specialty |
| No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Single Specialty |
| No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Single Specialty |
| No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Single Specialty |