Organization Active NPI

Cascade Sleep Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Salem, OR
National Provider Identifier
1417400052
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1678438-4 Issued in OR
Legal business name
CASCADE SLEEP SUPPLY, LLC.
Practice address
1500 Liberty St SE Ste 170
Salem, OR 97302-4386
Phone
(503) 584-1961
NPI assigned
Aug 1, 2016
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
William David Donalson, RESPIRATORY THERAPIS
Title
President
Phone
(503) 584-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1678438-4 OR Primary

Addresses

Primary practice location

1500 Liberty St SE Ste 170
Salem, OR 97302-4386

Mailing address

1500 Liberty St SE Ste 170
Salem, OR 97302-4386
Phone (503) 584-1961

Other identifiers 1

IdentifierTypeStateIssuer
500721983MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170314000082 OR DME Supplier - Medical Supply Company With Respiratory Therapist 8426333436 Practice locations: Salem, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cascade Sleep Supply, LLC.1500 Liberty St SE, Salem, OR 97302-4386(503) 584-1961 Ultraviolet Light Devices and/or Supplies|Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices|Urinary Suction Pumps Does not accept assignmentParticipating since Sep 15, 2016

National Provider Directory

National Provider Directory

Locations

1500 Liberty St SE
Ste 170
Salem, OR 97302
Phone (503) 584-1961

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1417400052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LIBERTY ST SE STE 170",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024386",
            "telephone_number": "503-584-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LIBERTY ST SE STE 170",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024386",
            "telephone_number": "503-584-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SLEEP SUPPLY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "DONALSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-584-1961",
        "authorized_official_credential": "RESPIRATORY THERAPIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "1678438-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500721983",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.