Organization Active NPI

Joseph L. Lescano

Doing business as Pacific Sleep Care & Wellness

  • Prosthetic/Orthotic Supplier
  • Dededo, GU
National Provider Identifier
1417030818
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JOSEPH L. LESCANO
Doing business as
Pacific Sleep Care & Wellness
Practice address
2221 Army Dr Ste 209 Manhattan Plaza
Dededo, GU 96929
Phone
(671) 647-5477
Fax
(671) 646-6876
NPI assigned
Oct 23, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Mrs. Mona M Manlutac
Title
Office Manager
Phone
(671) 647-5477

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Durable Medical Equipment & Medical Supplies 332B00000X GU
Prosthetic/Orthotic Supplier 335E00000X NU Primary
Medical Foods Supplier 335G00000X NU

Addresses

Primary practice location

2221 Army Dr Ste 209 Manhattan Plaza
Dededo, GU 96929

Mailing address

PO Box 5622
Hagatna, GU 96929
Phone (671) 647-5477

Other practice location 1

2221 Army Dr Ste 209 Manhattan Plaza
Dededo, GU 96929
Phone (671) 647-5477

Other identifiers 1

IdentifierTypeStateIssuer
M0098148MedicaidGU

Other names 1

  • Pacific Sleep Care & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930097704 GU DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 8729295241 Practice locations: Tamuning, GU

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1417030818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5622",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "96929",
            "telephone_number": "671-647-5477",
            "fax_number": "671-646-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 ARMY DR STE 209 MANHATTAN PLAZA",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "96929",
            "telephone_number": "671-647-5477",
            "fax_number": "671-646-6876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Army Dr Ste 209 Manhattan Plaza",
            "address_purpose": "LOCATION",
            "city": "Dededo",
            "state": "GU",
            "postal_code": "96929",
            "country_code": "US",
            "telephone_number": "671-647-5477",
            "fax_number": "671-646-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH L. LESCANO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLY",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MANLUTAC",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "671-647-5477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0098148",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Sleep Care & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Sleep Care & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.