Healthcare Provider Details

I. General information

NPI: 1902723273
Provider Name (Legal Business Name): CPAPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 N 129TH AVE UNIT 122
LITCHFIELD PARK AZ
85340-4269
US

IV. Provider business mailing address

5110 N 129TH AVE UNIT 122
LITCHFIELD PARK AZ
85340-4269
US

V. Phone/Fax

Practice location:
  • Phone: 602-314-1279
  • Fax:
Mailing address:
  • Phone: 602-314-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACINE CHISM
Title or Position: OWNER
Credential: RPSGT
Phone: 469-305-8252