Healthcare Provider Details

I. General information

NPI: 1821064924
Provider Name (Legal Business Name): RESPIRATORY SERVICES AND SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 CROWN PLAZA BLVD
PLAINFIELD IN
46168-2015
US

IV. Provider business mailing address

1923 CROWN PLAZA BLVD
PLAINFIELD IN
46168-2015
US

V. Phone/Fax

Practice location:
  • Phone: 317-837-0522
  • Fax: 317-837-0530
Mailing address:
  • Phone: 317-837-0522
  • Fax: 317-837-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0111405971
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0111405971
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CYNTHIA S STEWART
Title or Position: PRESIDENT
Credential: RRT
Phone: 317-837-0522