Active NPI
Rocky Mountain Sleep Resources LLC
- Sleep Disorder Diagnostic Clinic/Center
- Pueblo, CO
National Provider Identifier
1992077416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120724000322 | CO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1951567783 | Practice locations: Pueblo, CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Pueblo, CO
- NPI 1386638799
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
- Rocky Mountain Eye Center Inc a Colorado Provider Network
- Rocky Mountain Eye Center Inc a Colorado Provider Network
- Rocky Mountain Lodging, LLC. (Rodeway Inn)
- Rocky Mountain Medical Equipment LLC (Major Medical)
- Rocky Mountain Primary Care Clinic
- Rocky Mountain Vein Institute Professional LLC (American Vein & Vascular)
- Barbara Roderick
- Daniel C Rodgers, ATC
- Matthew Rodgers
- Raul Rodriguez-Barahona
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.