Provider Demographics
NPI:1184802258
Name:SOMNICARE, INC.
Entity type:Organization
Organization Name:SOMNICARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-226-0900
Mailing Address - Street 1:10203 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 COPPER CREEK DR
Practice Address - Street 2:STE G
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327
Practice Address - Country:US
Practice Address - Phone:515-226-0900
Practice Address - Fax:515-226-0662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVASTRAUSA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0819250002Medicare NSC