Organization Active NPI

Awakening Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Leesville, LA
National Provider Identifier
1104095603
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120214000632 LA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4183813157 Practice locations: Leesville, LA

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.