Organization Active NPI

Back2Sleep, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1013167774
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BACK2SLEEP, LLC
Practice address
12875 Commodity PL
Tampa, FL 33626-3104
Phone
(813) 377-5416
Fax
(253) 799-3853
NPI assigned
Sep 30, 2008
Last updated
Aug 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walter Matthew Groteke
Title
President
Phone
(813) 377-5416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12875 Commodity PL
Tampa, FL 33626-3104

Mailing address

303 Main St Unit 143
Safety Harbor, FL 34695-9706
Phone (813) 377-5416

National Provider Directory

National Provider Directory
Tax ID family
Back2Sleep LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 Main St
Unit 143
Safety Harbor, FL 34695

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439683200000",
    "number": "1013167774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MAIN ST UNIT 143",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346959706",
            "telephone_number": "813-377-5416",
            "fax_number": "253-799-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12875 COMMODITY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263104",
            "telephone_number": "813-377-5416",
            "fax_number": "253-799-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK2SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-08-16",
        "status": "A",
        "authorized_official_last_name": "GROTEKE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-377-5416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.