Cardiosom, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

69000011A Issued in IN

Legal business name

CARDIOSOM, LLC

Doing business as

CardioSom of Fort Wayne

Practice address

1625 Magnavox Way
Fort Wayne, IN 46804-1535

Phone

(260) 436-2261

Fax

(260) 436-0092

NPI assigned

Aug 9, 2006

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Jarrell

Title

President/Coo

Phone

(317) 706-1080

Specialties & licenses 1

Addresses

Other names 1

• CardioSom of Fort Wayne Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Sleep Medicine Services, Inc

  dba CardioSom

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1568546323

  Member Of

  NPD member

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1326058389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W. CARMEL DR.",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-574-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MAGNAVOX WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041535",
            "telephone_number": "260-436-2261",
            "fax_number": "260-436-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IN",
            "license": "69000011A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Fort Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josslyn Mariah Carder, MSW
• Cardinal Health 414, LLC
• Bambi Michelle Cardinal, FNP
• Cardiosom LLC Dba MD Sleep of Ft. Wayne
• Cardiosom of Ft. Wayne, Inc
• Cardiovascular Associates of Northeastern Indiana LLC
• Carefirst of Fort Wayne Inc. (Advanced Healthcare)
• Carehalo Ohio LLC (CareHalo)
• Cares to Help Home Care
• Cole Carey, RBT

• Oxygen Equipment & Supplies (DME) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.