Organization Active NPI

Lakeland Health Services, Inc.

Doing business as Restore Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Blaine, MN
National Provider Identifier
1144462219
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LAKELAND HEALTH SERVICES, INC.
Doing business as
Restore Sleep Center
Practice address
11855 Ulysses St NE Ste 200
Blaine, MN 55434-4181
Phone
(763) 576-9068
Fax
(763) 576-1660
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Omae
Title
Ceo & President
Phone
(763) 354-7648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X MN Primary
Durable Medical Equipment & Medical Supplies 332B00000X MN

Addresses

Primary practice location

11855 Ulysses St NE Ste 200
Blaine, MN 55434-4181

Mailing address

10600 Old County Road 15 Ste 140
Plymouth, MN 55441-6201
Phone (763) 512-1551

Other names 1

  • Restore Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930099538 MN DME Supplier - Medical Supply Company With Respiratory Therapist 6204744238 Practice locations: Blaine, MN
O20130930000374 MN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204744238 Practice locations: Blaine, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lakeland Health Services11855 Ulysses St NE, Blaine, MN 55434-3947(763) 432-2709 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Aug 1, 2006

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10600 Old County Road 15
Ste 1
Plymouth, MN 55441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1144462219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 OLD COUNTY ROAD 15 STE 140",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416201",
            "telephone_number": "763-512-1551",
            "fax_number": "763-512-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE STE 200",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344181",
            "telephone_number": "763-576-9068",
            "fax_number": "763-576-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "OMAE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "763-354-7648"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.