Organization Active NPI

Sleeprite Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Hibbing, MN
National Provider Identifier
1750413266
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5057529 Issued in MN
Legal business name
SLEEPRITE MEDICAL LLC
Practice address
2139 1St Ave.
Hibbing, MN 55746-2012
Phone
(218) 362-8000
Fax
(218) 362-8000
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mr. Darryl Martin Rajkovich, RT., RPSGT.
Title
Owner,Respiratory Therapist
Phone
(218) 362-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5057529 MN Primary

Addresses

Primary practice location

2139 1St Ave.
Hibbing, MN 55746-2012

Mailing address

2139 1St Ave.
Hibbing, MN 55746-2012
Phone (218) 362-8000

Other identifiers 4

IdentifierTypeStateIssuer
1025958OtherMNPREFERRED ONE
36G71SLOtherMNFIRST PLAN OF MN
335423700MedicaidMN
36G71SLOtherMNBCBS OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324002882 MN DME Supplier - Medical Supply Company With Respiratory Therapist 1850618299 Practice locations: Hibbing, MN

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
Sleeprite Medical LLC2139 1St Ave, Hibbing, MN 55746-1804(218) 362-8000 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Respiratory Assist Devices Accepts assignmentParticipating since Nov 20, 2014

National Provider Directory

National Provider Directory

Locations

2139 1st Ave
Hibbing, MN 55746
Phone (218) 362-8000

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1750413266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 1ST AVE.",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462012",
            "telephone_number": "218-362-8000",
            "fax_number": "218-362-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 1ST AVE.",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462012",
            "telephone_number": "218-362-8000",
            "fax_number": "218-362-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPRITE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "RAJKOVICH",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER,RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "218-362-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT., RPSGT."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "5057529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1025958",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN OF MN",
            "identifier": "36G71SL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335423700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "36G71SL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.