Treasure Coast Sleep Disorders , LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

TREASURE COAST SLEEP DISORDERS , LLC

Practice address

188 NW Central Park PLZ
Port St Lucie, FL 34986-2451

Phone

(772) 232-9990

NPI assigned

Sep 8, 2011

Last updated

Jun 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Mamangakis

Title

President

Phone

(772) 232-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Treasure Coast Sleep Disorders LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Jensen Beach, FL
  • NPI 1356363212

  4082620240

  Same PAC ID

Tax ID family

Treasure Coast Sleep Disorders2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Treasure Coast Sleep Disorders LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Jensen Beach, FL
  • NPI 1356363212
  NPD tax ID

Locations

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.

• Christopher Lee Slack, M.D.

  • Facial Plastic Surgery Physician
  • Fort Pierce, FL
  • NPI 1982613717
  NPD

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1649551235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349580187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NW CENTRAL PARK PLZ",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862451",
            "telephone_number": "772-232-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST SLEEP DISORDERS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "MAMANGAKIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-232-9990"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Optical, Inc. (Dr. Tari Schmit)
• Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc
• Treasure Coast Pathology, PA
• Treasure Coast Pathology, PA
• Treasure Coast Pulmonary Medicine, P.a.
• Treasures Senior Care Inc. (Home Instead Senior Care)
• Treatment Centers of America (Behavioral Health Centers)
• Treatment Centers of America, LLC (Behavioral Health Centers)
• Treatment Centers of America, LLC (Behavioral Health Centers)
• Treatment Centers of America, LLC (Tcoa 2325)

• Sleep Disorder Diagnostic Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.