Healthcare Provider Details

I. General information

NPI: 1891631453
Provider Name (Legal Business Name): CARDINAL SLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 S NATIONAL AVE STE D6
SPRINGFIELD MO
65810-2896
US

IV. Provider business mailing address

4650 S NATIONAL AVE STE D6
SPRINGFIELD MO
65810-2896
US

V. Phone/Fax

Practice location:
  • Phone: 417-569-6039
  • Fax: 417-501-8843
Mailing address:
  • Phone: 417-569-6039
  • Fax: 417-501-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HEATHER A MOENKHOFF
Title or Position: OWNER
Credential: RRT, RPSGT
Phone: 417-179-4267