Organization Active NPI

Classic Sleepcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pendleton, IN
National Provider Identifier
1912214727
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
E0656112006 Issued in CA
Legal business name
CLASSIC SLEEPCARE, LLC
Practice address
138 West State Street
Suite #4
Pendleton, IN 46064
Phone
(888) 707-2454
Fax
(888) 249-3875
NPI assigned
Sep 1, 2010
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Robert Fallan
Title
Managing Member
Phone
(888) 707-2454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X E0656112006-5 CA
Durable Medical Equipment & Medical Supplies 332B00000X E0656112006 CA Primary

Addresses

Primary practice location

138 West State Street
Suite #4
Pendleton, IN 46064

Mailing address

30851 Agoura Rd
Suite 202
Agoura Hills, CA 91301
Phone (888) 707-2454

National Provider Directory

National Provider Directory

Locations

138 W State St
#4
Pendleton, IN 46064
Phone (888) 707-2454

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1912214727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30851 AGOURA RD",
            "address_2": "SUITE 202",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "888-707-2454",
            "fax_number": "888-249-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WEST STATE STREET",
            "address_2": "SUITE #4",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "46064",
            "telephone_number": "888-707-2454",
            "fax_number": "888-249-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC SLEEPCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "FALLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "888-707-2454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E0656112006-5",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "E0656112006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.