MEDICARE: TOTAL RESPIRATORY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	2000149081	MO

General Provider Information

NPI Number	:	1265885008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL RESPIRATORY SERVICES, LLC

Provider Business Mailing Address
First Line	:	9051 WATSON RD
Second Line	:	SUITE 144
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-2240
Country	:	US
Telephone Number	:	314-435-5930
Fax Number	:

Provider Business Practice Location Address
First Line	:	9051 WATSON RD
Second Line	:	SUITE 144
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-2240
Country	:	US
Telephone Number	:	314-435-5930
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT MAKSCHE
Credential	:	RRT
Telephone Number	:	314-435-5930

Provider Enumeration Date	:	07/17/2016
Last Update Date	:	07/17/2016

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