Healthcare Provider Details

I. General information

NPI: 1508357245
Provider Name (Legal Business Name): CPAP SUPPLIES & SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 SW GAGE BLVD
TOPEKA KS
66614-2927
US

IV. Provider business mailing address

512 SW 6TH AVE
TOPEKA KS
66603-3146
US

V. Phone/Fax

Practice location:
  • Phone: 785-289-3188
  • Fax: 785-783-3599
Mailing address:
  • Phone: 785-289-3188
  • Fax: 785-783-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number16-02084
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number16-02084
License Number StateKS

VIII. Authorized Official

Name: CYNTHIA JOLEEN GREENE
Title or Position: OWNER
Credential: RT
Phone: 785-289-3188