Organization Active NPI

Supersomnia LLC

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
National Provider Identifier
1689232134
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERSOMNIA LLC
Practice address
6886 Cascade Rd SE Ste D
Grand Rapids, MI 49546-6879
Phone
(616) 216-5068
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Shivani Saini
Title
Member
Phone
(616) 216-5068

Specialties & licenses 1

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

Addresses

Primary practice location

6886 Cascade Rd SE Ste D
Grand Rapids, MI 49546-6879

Mailing address

6886 Cascade Rd SE Ste D
Grand Rapids, MI 49546-6879
Phone (616) 216-5068

Other identifiers 1

IdentifierTypeStateIssuer
5306005123OtherMISTATE OF MICHIGAN BPL

National Provider Directory

National Provider Directory

Locations

6886 Cascade Rd SE
Ste D
Grand Rapids, MI 49546
Phone (616) 216-5068

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1689232134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466879",
            "telephone_number": "616-216-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466879",
            "telephone_number": "616-216-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSOMNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-216-5068"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN BPL",
            "identifier": "5306005123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.