Basic Information
| Provider Information | |||||||||
| NPI: | 1447563762 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOTAL RESPIRATORY AND REHAB INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6414 S 118TH ST | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681373576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022814409 | ||||||||
| FaxNumber: | 4029338400 | ||||||||
| Practice Location | |||||||||
| Address1: | 6800 S 32ND ST STE B | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685166036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024668384 | ||||||||
| FaxNumber: | 4024661240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2010 | ||||||||
| LastUpdateDate: | 05/13/2020 | ||||||||
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| AuthorizedOfficialLastName: | SAULS | ||||||||
| AuthorizedOfficialFirstName: | DEBRAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4022814404 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | TOTAL RESPIRATORY AND REHAB | ||||||||
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| NPICertificationDate: | 05/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | NE | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.