Provider Demographics
| NPI: | 1144363706 |
|---|---|
| Name: | ARETE SLEEP LLC |
| Entity type: | Organization |
| Organization Name: | ARETE SLEEP LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ANTHONY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BAUMANN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 480-282-6532 |
| Mailing Address - Street 1: | 6263 N SCOTTSDALE RD |
| Mailing Address - Street 2: | SUITE 395 |
| Mailing Address - City: | SCOTTSDALE |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85250-5406 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-282-6500 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2350 W RAY RD |
| Practice Address - Street 2: | SUITE L 101 |
| Practice Address - City: | CHANDLER |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85224-3516 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-282-6500 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-14 |
| Last Update Date: | 2010-02-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AZ | 191027 | Medicaid | |
| AZ | Z120136 | Medicare PIN |