| Organization Name: | CLASSIC SLEEPCARE, LLC |
| NPI Number: | 1912214727 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT FALLAN (MANAGING MEMBER) |
| Mailing Address: | 138 West State Street Suite #4 Pendleton |
| State: | IN US |
| Postal Code: | 46064 |
| Phone Number: | 8887072454 |
| Fax Number: | 8882493875 |
| NPI Enumeration Date: | 09/01/2010 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | E0656112006-5 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |