Organization Active NPI

Serenity Sleep Solutions of Quincy, LLC

  • Customized Equipment (DME)
  • Quincy, IL
National Provider Identifier
1316455835
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SERENITY SLEEP SOLUTIONS OF QUINCY, LLC
Practice address
3800 E Lake Ctr
Quincy, IL 62305-5839
Phone
(217) 214-7222
Fax
(217) 403-9200
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Kent J Sturhahn, DMD
Title
Dentist
Phone
(217) 257-0386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3800 E Lake Ctr
Quincy, IL 62305-5839

Mailing address

3800 E Lake Ctr Ste 100
Quincy, IL 62305-5839
Phone (217) 257-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180706001729 IL DME Supplier - Oral Surgery - DentistDME Supplier - Other 6204182173 Practice locations: Quincy, IL

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
Serenity Sleep Solutions of Quincy3800 E Lake Ctr, Quincy, IL 62305-5839(217) 214-7222 Continuous Positive Airway Pressure (CPAP) Devices Does not accept assignmentParticipating since Apr 20, 2018

National Provider Directory

National Provider Directory

Locations

3800 E Lake Ctr
Quincy, IL 62305
Phone (217) 214-7222

2801 Broadway St
Quincy, IL 62301
Phone (217) 214-7222

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1316455835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E LAKE CTR STE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055839",
            "telephone_number": "217-257-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E LAKE CTR",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055839",
            "telephone_number": "217-214-7222",
            "fax_number": "217-403-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SLEEP SOLUTIONS OF QUINCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "STURHAHN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-257-0386",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.