Organization Active NPI

Luna Sleep Center and Pulmonary Rehab, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1235972811
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LUNA SLEEP CENTER AND PULMONARY REHAB, LLC
Practice address
10794 Pines Blvd Ste 206
Pembroke Pines, FL 33026-3920
Phone
(954) 553-6639
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Adens PrevilonNPI 1033142591
Title
Owner
Phone
(954) 553-6639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

10794 Pines Blvd Ste 206
Pembroke Pines, FL 33026-3920

Mailing address

10794 Pines Blvd Ste 206
Pembroke Pines, FL 33026-3920
Phone (954) 553-6639

National Provider Directory

National Provider Directory

Locations

10794 Pines Blvd
Ste 206
Pembroke Pines, FL 33026
Phone (954) 553-6639

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1235972811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 206",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-553-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 206",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-553-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA SLEEP CENTER AND PULMONARY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "PREVILON",
        "authorized_official_first_name": "ADENS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-553-6639"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.