Active NPI
My Sacred Home II, LLC
- Sleep Specialist (PhD)
- Wichita, KS
National Provider Identifier
1396979456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Specialist (PhD)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Specialist (PhD) | 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
National Provider Directory
National Provider Directory- Tax ID family
- MSH Sleep Lab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Wichita, KS
- NPI 1144457557
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.