Organization Active NPI

Huntsville Sleep DME

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, TX
National Provider Identifier
1629374517
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HUNTSVILLE SLEEP DME
Practice address
122 Medical Park LN
Suite B
Huntsville, TX 77340-4902
Phone
(936) 522-6836
Fax
(936) 293-8773
NPI assigned
Feb 10, 2011
Organization subpart
Yes
Parent organization
HUNTSVILLE SLEEP CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Sue A Mantzoros
Title
Ceo
Phone
(936) 522-6836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

122 Medical Park LN
Suite B
Huntsville, TX 77340-4902

Mailing address

122 Medical Park LN
Suite B
Huntsville, TX 77340-4902
Phone (936) 522-6836

National Provider Directory

National Provider Directory
Part of
Huntsville Sleep DME

Locations

122 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 293-8434

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1629374517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MEDICAL PARK LN",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404902",
            "telephone_number": "936-522-6836",
            "fax_number": "936-293-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MEDICAL PARK LN",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404902",
            "telephone_number": "936-522-6836",
            "fax_number": "936-293-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE SLEEP DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUNTSVILLE SLEEP CENTER LLC",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MANTZOROS",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-522-6836"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.