Organization Active NPI

Entire Sleep Solutions LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1962093575
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ENTIRE SLEEP SOLUTIONS LLC
Practice address
1426 N Marvin St
Gilbert, AZ 85233-2565
Phone
(480) 356-7517
Fax
(602) 585-0688
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Kim M Farkas
Title
Provider/Provider
Phone
(480) 356-7517

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2279H0200X
Pulmonary Diagnostics Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2279P1004X
Pulmonary Rehabilitation Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2279P1005X
Pulmonary Function Technologist Registered Respiratory TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2279P1006X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1426 N Marvin St
Gilbert, AZ 85233-2565

Mailing address

10515 E Thorite Cir
Mesa, AZ 85212-8921
Phone (480) 356-7517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231221000158 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890143812 Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1426 N Marvin St
Gilbert, AZ 85233
Phone (480) 356-7517

4904 S Power Rd
Ste 103228
Mesa, AZ 85212
Phone (480) 356-7517

4904 S Power Rd
#103228
Mesa, AZ 85212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1962093575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 E THORITE CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128921",
            "telephone_number": "480-356-7517",
            "fax_number": "602-588-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N MARVIN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332565",
            "telephone_number": "480-356-7517",
            "fax_number": "602-585-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTIRE SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-01-09",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "FARKAS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/PROVIDER",
        "authorized_official_telephone_number": "480-356-7517"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.