Provider Demographics
NPI:1962880013
Name:RESP-A-SURE, INC.
Entity type:Organization
Organization Name:RESP-A-SURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT /CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BURNEY
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:IV
Authorized Official - Credentials:RCP
Authorized Official - Phone:909-821-5111
Mailing Address - Street 1:3200 E GUASTI RD
Mailing Address - Street 2:SUITE NUMBER 100
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8660
Mailing Address - Country:US
Mailing Address - Phone:909-821-5111
Mailing Address - Fax:909-986-2545
Practice Address - Street 1:3200 E GUASTI RD
Practice Address - Street 2:SUITE NUMBER 100
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8660
Practice Address - Country:US
Practice Address - Phone:909-821-5111
Practice Address - Fax:909-986-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268042278E1000X, 2278G0305X, 2278G1100X, 2278H0200X, 2278P1005X, 227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
No2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducationalGroup - Single Specialty
No2278G0305XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeriatric CareGroup - Single Specialty
No2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral CareGroup - Single Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Single Specialty
No2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Single Specialty