Organization Active NPI

Socoro LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellevue, NE
National Provider Identifier
1609185230
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOCORO LLC
Doing business as
R.E.M. Sleep Center of Bellevue
Practice address
2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520
Phone
(402) 670-8903
Fax
(402) 991-7981
NPI assigned
Sep 30, 2010
Organization subpart
Yes
Parent organization
R.E.M. SLEEP CENTER OF BELLEVUEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mr. Jon B Novak
Title
President
Phone
(402) 933-0400

Specialties & licenses 1

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

Addresses

Primary practice location

2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520

Mailing address

2510 Bellevue Medical Center Dr
Suite 170
Bellevue, NE 68123-1520
Phone (402) 991-7832

Other names 1

  • R.E.M. Sleep Center of Bellevue Doing business as

National Provider Directory

National Provider Directory
Part of
Socoro LLC

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1609185230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER DR",
            "address_2": "SUITE 170",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231520",
            "telephone_number": "402-991-7832",
            "fax_number": "402-991-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELLEVUE MEDICAL CENTER DR",
            "address_2": "SUITE 170",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231520",
            "telephone_number": "402-670-8903",
            "fax_number": "402-991-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.E.M. SLEEP CENTER OF BELLEVUE",
        "enumeration_date": "2010-09-30",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-933-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.E.M. Sleep Center of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.