Provider Demographics
NPI:1831172204
Name:NATIONAL RESPIRATORY SERVICES, LLC
Entity type:Organization
Organization Name:NATIONAL RESPIRATORY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-297-8223
Mailing Address - Street 1:11540 BLANKENBAKER ACCESS DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6428
Mailing Address - Country:US
Mailing Address - Phone:502-297-8223
Mailing Address - Fax:800-845-8650
Practice Address - Street 1:11540 BLANKENBAKER ACCESS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6428
Practice Address - Country:US
Practice Address - Phone:502-297-8223
Practice Address - Fax:800-845-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06284332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90000985Medicaid
OH2126596Medicaid
OH2126596Medicaid