Organization Active NPI

Livonia Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Livonia, MI
National Provider Identifier
1457315053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
LIVONIA SLEEP CENTER LLC
Practice address
17880 Farmington Rd
BLDG B
Livonia, MI 48152-3104
Phone
(248) 465-1848
Fax
(248) 380-8620
NPI assigned
Apr 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy B Kerr
Title
Managing Director
Phone
(248) 755-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

17880 Farmington Rd
BLDG B
Livonia, MI 48152-3104

Mailing address

3055 Kettering Blvd
Suite 219
Dayton, OH 45439-1900
Phone (586) 948-3803

Other identifiers 1

IdentifierTypeStateIssuer
700H22686OtherMIBLUE CROSS AND BLUE SHIEL

Other names 1

  • Limited Liability Corporation LLC Other name

National Provider Directory

National Provider Directory

Locations

17880 Farmington Rd
Livonia, MI 48152
Phone (248) 465-1848

17880 Farmington Rd
Bldg B
Livonia, MI 48152
Phone (248) 465-1848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457315053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 KETTERING BLVD",
            "address_2": "SUITE 219",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454391900",
            "telephone_number": "586-948-3803",
            "fax_number": "586-948-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "address_2": "BLDG B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "248-465-1848",
            "fax_number": "248-380-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "248-755-5522"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "700H22686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limited Liability Corporation LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.