Organization Active NPI

Delta Sleep'S Cpap Store

  • Sleep Disorder Diagnostic Clinic/Center
  • Bloomington, IL
National Provider Identifier
1457655698
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DELTA SLEEP'S CPAP STORE
Practice address
2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472
Phone
(309) 663-2727
Fax
(309) 663-1818
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Mr. Lawrence Joseph Lehane II
Title
Owner/President
Phone
(309) 663-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472

Mailing address

2416 E Washington St
Ste. D4
Bloomington, IL 61704-4472
Phone (309) 663-2727

National Provider Directory

National Provider Directory

Locations

2416 E Washington St
Ste D4
Bloomington, IL 61704
Phone (309) 663-2727

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1457655698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST",
            "address_2": "STE. D4",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044472",
            "telephone_number": "309-663-2727",
            "fax_number": "309-663-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST",
            "address_2": "STE. D4",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044472",
            "telephone_number": "309-663-2727",
            "fax_number": "309-663-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SLEEP'S CPAP STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "LEHANE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "309-663-2727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.