Organization Active NPI

Sleep Resource Consulting Service LLC

  • Specialist
  • Lake Havasu City, AZ
National Provider Identifier
1265447718
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01398 Issued in AZ
Legal business name
SLEEP RESOURCE CONSULTING SERVICE LLC
Practice address
1695 Mesquite Ave Ste 110
Lake Havasu City, AZ 86403-5684
Phone
(928) 855-7570
Fax
(928) 855-7574
NPI assigned
Jul 30, 2006
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Brenda Weverka
Title
Billing Coordinator
Phone
(928) 855-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01398 AZ Primary

Addresses

Primary practice location

1695 Mesquite Ave Ste 110
Lake Havasu City, AZ 86403-5684

Mailing address

PO Box 3267
Lake Havasu City, AZ 86405-3267
Phone (928) 855-7570

Other identifiers 1

IdentifierTypeStateIssuer
881525MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1731 Mesquite Ave
Ste 2
Lk Havasu Cty, AZ 86403
Phone (928) 855-7570

2035 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403

Practitioners & affiliated clinicians

Practitioners 2

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1265447718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3267",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864053267",
            "telephone_number": "928-855-7570",
            "fax_number": "928-855-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 110",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035684",
            "telephone_number": "928-855-7570",
            "fax_number": "928-855-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP RESOURCE CONSULTING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "WEVERKA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "928-855-7570"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "01398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881525",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.