Organization Active NPI

My Sacred Home II, LLC

  • Sleep Specialist (PhD)
  • Wichita, KS
National Provider Identifier
1396979456
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
MY SACRED HOME II, LLC
Practice address
7829 E Rockhill St Ste 406
Wichita, KS 67206-3915
Phone
(316) 440-4820
Fax
(316) 440-4851
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Jannifer S Terry, RN
Title
President
Phone
(316) 440-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X Primary

Addresses

Primary practice location

7829 E Rockhill St Ste 406
Wichita, KS 67206-3915

Mailing address

7829 E Rockhill St Ste 406
Wichita, KS 67206-3915
Phone (316) 440-4820

Other names 1

  • MSH SLEEP LAB Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
MSH Sleep Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7829 E Rockhill St
Ste 406
Wichita, KS 67206
Phone (316) 440-4820

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1396979456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063915",
            "telephone_number": "316-440-4820",
            "fax_number": "316-440-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063915",
            "telephone_number": "316-440-4820",
            "fax_number": "316-440-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SACRED HOME II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JANNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-440-4820",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSH SLEEP LAB",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.