Active NPI
Serenity Sleep Solutions of Quincy, LLC
- Customized Equipment (DME)
- Quincy, IL
National Provider Identifier
1316455835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180706001729 | IL | DME Supplier - Oral Surgery - Dentist | 6204182173 | Practice locations: Quincy, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Serenity Sleep Solutions of Quincy | Continuous Positive Airway Pressure (CPAP) Devices | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.