Active NPI
Joseph L. Lescano
Doing business as Pacific Sleep Care & Wellness
- Prosthetic/Orthotic Supplier
- Dededo, GU
National Provider Identifier
1417030818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0098148 | Medicaid | GU |
Other names 1
- Pacific Sleep Care & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097704 | GU | DME Supplier - Medical Supply Company | 8729295241 | Practice locations: Tamuning, GU |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medquest Medical Supply
- Durable Medical Equipment & Medical Supplies
- Saipan, MP
- NPI 1841722535
Member Of
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.