Organization Active NPI

Sleep Health Wisconsin LLC

  • Durable Medical Equipment & Medical Supplies
  • La Crosse, WI
National Provider Identifier
1386467736
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SLEEP HEALTH WISCONSIN LLC
Practice address
3143 State Rd Ste 201
La Crosse, WI 54601-6964
Phone
(608) 788-6939
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Tracy Adams
Title
Medical Clinic Coordinator
Phone
(920) 425-4140

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3143 State Rd Ste 201
La Crosse, WI 54601-6964

Mailing address

1052 Bel Aire CT
Green Bay, WI 54304-5015
Phone (920) 499-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260119000204 WI DME Supplier - Oral Surgery - Dentist 4981060142 Practice locations: La Crosse, WI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sleep Health Wisconsin LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3143 State Rd
Ste 201
La Crosse, WI 54601
Phone (608) 788-6939

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1386467736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 BEL AIRE CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045015",
            "telephone_number": "920-499-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 STATE RD STE 201",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016964",
            "telephone_number": "608-788-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP HEALTH WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MEDICAL CLINIC COORDINATOR",
        "authorized_official_telephone_number": "920-425-4140"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.