Organization Active NPI

Rocky Mountain Sleep Resources LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Pueblo, CO
National Provider Identifier
1992077416
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ROCKY MOUNTAIN SLEEP RESOURCES LLC
Practice address
1306 Fortino Blvd
Suite 110
Pueblo, CO 81008-1793
Phone
(719) 546-1000
NPI assigned
Jan 30, 2012
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Eric Pacheco
Title
Owner
Phone
(719) 546-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1306 Fortino Blvd
Suite 110
Pueblo, CO 81008-1793

Mailing address

1306 Fortino Blvd
Pueblo, CO 81008-1793
Phone (719) 546-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000322 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951567783 Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

1306 Fortino Blvd
Pueblo, CO 81008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1992077416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081793",
            "telephone_number": "719-546-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 FORTINO BLVD",
            "address_2": "SUITE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081793",
            "telephone_number": "719-546-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SLEEP RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-546-1000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.