Healthcare Provider Details

I. General information

NPI: 1962093575
Provider Name (Legal Business Name): ENTIRE SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/09/2024
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 N MARVIN ST
GILBERT AZ
85233-2565
US

IV. Provider business mailing address

10515 E THORITE CIR
MESA AZ
85212-8921
US

V. Phone/Fax

Practice location:
  • Phone: 480-356-7517
  • Fax: 602-585-0688
Mailing address:
  • Phone: 480-356-7517
  • Fax: 602-588-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIM M FARKAS
Title or Position: PROVIDER/PROVIDER
Credential:
Phone: 480-356-7517