Active NPI
Sunrise Sleep Center LLC
- Sleep Disorder Diagnostic Clinic/Center
- North Port, FL
National Provider Identifier
1336724574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SUNRISE SLEEP CENTER LLC
- Practice address
- 2975 Bobcat Village Center Rd
North Port, FL 34288-4600 - Phone
- (207) 460-2887
- NPI assigned
- Mar 9, 2021
- 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
- Christina Roberge
- Title
- VP/ Owner
- Phone
- (941) 888-2416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
2975 Bobcat Village Center Rd
North Port, FL 34288-4600
Mailing address
2975 Bobcat Village Center Rd Unit 200
North Port, FL 34288-4602
Phone (941) 888-2416
Other names 1
- Sunrise Sleep Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220829002407 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4587048335 | Practice locations: North Port, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Bangor, ME
- NPI 1538129226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1336724574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 BOBCAT VILLAGE CENTER RD UNIT 200",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342884602",
"telephone_number": "941-888-2416",
"fax_number": "941-564-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 BOBCAT VILLAGE CENTER RD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342884600",
"telephone_number": "207-460-2887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE SLEEP CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-09",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "ROBERGE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "VP/ OWNER",
"authorized_official_telephone_number": "941-888-2416"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Sleep Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.