Active NPI
Respiratory Care Extended Services, Inc.
- Registered Respiratory Therapist
- Lake Worth, FL
National Provider Identifier
1356500136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- Legal business name
- RESPIRATORY CARE EXTENDED SERVICES, INC.
- Practice address
- 5522 Barnstead Circle
Ste. 03
Lake Worth, FL 33463-6617 - Phone
- (786) 367-0635
- Fax
- (561) 370-6382
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hosea Jeffery Moss, RRT
- Title
- RRT
- Phone
- (786) 367-0635
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | |||
| Registered Respiratory Therapist | 227900000X | Primary |
Addresses
Primary practice location
5522 Barnstead Circle
Ste. 03
Lake Worth, FL 33463-6617
Mailing address
5522 Barnstead Circle
Ste. 03
Lake Worth, FL 33463-6617
Phone (786) 367-0635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 885761000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553212800000",
"number": "1356500136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5522 BARNSTEAD CIRCLE",
"address_2": "STE. 03",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636617",
"telephone_number": "786-367-0635",
"fax_number": "561-370-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 BARNSTEAD CIRCLE",
"address_2": "STE. 03",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636617",
"telephone_number": "786-367-0635",
"fax_number": "561-370-6382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESPIRATORY CARE EXTENDED SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2019-03-22",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "HOSEA",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "RRT",
"authorized_official_telephone_number": "786-367-0635",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "885761000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.