MEDICARE: ENTIRE SLEEP SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2279H0200X	Home Health Registered Respiratory Therapist
2	2279P1004X	Pulmonary Diagnostics Registered Respiratory Therapist
3	2279P1005X	Pulmonary Rehabilitation Registered Respiratory Therapist
4	2279P1006X	Pulmonary Function Technologist Registered Respiratory Therapist
5	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1962093575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENTIRE SLEEP SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	10515 E THORITE CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-8921
Country	:	US
Telephone Number	:	480-356-7517
Fax Number	:	602-588-0688

Provider Business Practice Location Address
First Line	:	1426 N MARVIN ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-2565
Country	:	US
Telephone Number	:	480-356-7517
Fax Number	:	602-585-0688

Authorized Official
Title or Position	:	PROVIDER/PROVIDER
Name	:	KIM M FARKAS
Credential	:
Telephone Number	:	480-356-7517

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	01/09/2024

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