Active NPI
Awakening Sleep Center LLC
- Sleep Disorder Diagnostic Clinic/Center
- Leesville, LA
National Provider Identifier
1104095603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- AWAKENING SLEEP CENTER LLC
- Practice address
- 1608 S 5TH St
Suite B
Leesville, LA 71446-5304 - Phone
- (337) 392-5910
- Fax
- (337) 392-1099
- NPI assigned
- Feb 28, 2008
- Last updated
- Jul 23, 2015
- 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
- Jennifer R Boyd
- Title
- Manager
- Phone
- (337) 392-5910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1608 S 5TH St
Suite B
Leesville, LA 71446-5304
Mailing address
1608 S 5TH St
Suite B
Leesville, LA 71446-5304
Phone (337) 392-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120214000632 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4183813157 | Practice locations: Leesville, LA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1608 S 5th St
#B
Leesville, LA 71446
Phone (337) 392-5910
1608 S 5th St
Ste B
Leesville, LA 71446
Phone (337) 392-1000
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.
-
- Otolaryngology Physician
- Leesville, LA
- NPI 1427019389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437609600000",
"number": "1104095603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 S 5TH ST",
"address_2": "SUITE B",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714465304",
"telephone_number": "337-392-5910",
"fax_number": "337-392-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 S 5TH ST",
"address_2": "SUITE B",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714465304",
"telephone_number": "337-392-5910",
"fax_number": "337-392-1099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKENING SLEEP CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2015-07-23",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "337-392-5910"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.