Organization Active NPI

At Home Sleep Clinic & Breathing Center PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Saginaw, MI
National Provider Identifier
1508106816
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
4301102063 Issued in MI
Legal business name
AT HOME SLEEP CLINIC & BREATHING CENTER PLLC
Practice address
4084 State St
Saginaw, MI 48603-4019
Phone
(989) 401-7444
Fax
(989) 401-7445
NPI assigned
Feb 22, 2013
Last updated
Jun 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Dr. Hossam E Gouda, MD
Title
Owner
Phone
(989) 401-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 4301102063 MI Primary

Addresses

Primary practice location

4084 State St
Saginaw, MI 48603-4019

Mailing address

3785 Bay Rd
Saginaw, MI 48603
Phone (989) 791-2455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1508106816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034019",
            "telephone_number": "989-401-7444",
            "fax_number": "989-401-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SLEEP CLINIC & BREATHING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "GOUDA",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-401-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MI",
            "license": "4301102063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.