# OMNISLEEP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OmniSleep
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164410528
- **Authorized official:** JOHN CRAIG EAVES (CEO)
- **Authorized official phone:** (505) 843-8758

## Contact information

- **Practice address:** 3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
- **Practice address phone:** (505) 843-8758
- **Practice address fax:** (505) 843-8759
- **Mailing address:** 3810 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
- **Mailing address phone:** (505) 843-8758
- **Mailing address fax:** (505) 843-8759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 225500000X | Respiratory/Developmental/Rehabilitative Specialist/Technologist | — | NULL | — |
| 225500000X | Respiratory/Developmental/Rehabilitative Specialist/Technologist | — | — | — |
| 227800000X | Certified Respiratory Therapist | — | NULL | — |
| 227800000X | Certified Respiratory Therapist | — | — | — |
| 227900000X | Registered Respiratory Therapist | — | NULL | — |
| 227900000X | Registered Respiratory Therapist | — | — | — |
| 246Z00000X | Other Specialist/Technologist | — | NULL | — |
| 246Z00000X | Other Specialist/Technologist | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 06/10/2020