Cardiosom, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312686 Issued in FL

Legal business name

CARDIOSOM, LLC

Doing business as

CardioSom of Palm Beach Gardens

Practice address

3385 Burns Rd
Suite 105
Palm Beach Gardens, FL 33410-4328

Phone

(561) 804-7636

Fax

(561) 804-7501

NPI assigned

Nov 10, 2005

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 identifiers 1

Other names 1

• CardioSom of Palm Beach Gardens 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": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1356322994",
    "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": "3385 BURNS RD",
            "address_2": "SUITE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-804-7636",
            "fax_number": "561-804-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "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": "FL",
            "license": "1312686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA AHCA LICENSE",
            "identifier": "1312686",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Palm Beach Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Cara, DO
• Kimberly Anne Caracci
• Rebecca Carbone, PHARMD
• Cardiac Cin of West Palm LLC
• Cardiac Institute of the Palm Beaches PA
• Ana Claudia Cardoso Gomes, MSN, APRN, FNP-BC
• Care & Rehabilitation LLC
• Care Provider Services, Inc
• Caremax Medical Center, LLC
• Caremedica Florida LLC

• Oxygen Equipment & Supplies (DME) in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• 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.