Organization Active NPI

Sunrise Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • North Port, FL
National Provider Identifier
1336724574
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Nov 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829002407 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4587048335 Practice locations: North Port, FL

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.