Organization Active NPI

Elite Sleep Solutions Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Beaumont, TX
National Provider Identifier
1689809048
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ELITE SLEEP SOLUTIONS INC
Practice address
8035 Eastex Fwy
Suite C
Beaumont, TX 77708-2402
Phone
(409) 892-2843
Fax
(409) 892-2943
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Authorized official

Name
Micah Cooksey
Title
President
Phone
(409) 892-2843

Specialties & licenses 1

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

Addresses

Primary practice location

8035 Eastex Fwy
Suite C
Beaumont, TX 77708-2402

Mailing address

PO Box 5127
Beaumont, TX 77726-5127
Phone (409) 892-2843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100513000788 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698802635 Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

Locations

8035 Eastex Fwy
Ste C
Beaumont, TX 77708
Phone (409) 892-2843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1689809048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265127",
            "telephone_number": "409-892-2843",
            "fax_number": "409-892-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 EASTEX FWY",
            "address_2": "SUITE C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777082402",
            "telephone_number": "409-892-2843",
            "fax_number": "409-892-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SLEEP SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "COOKSEY",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-892-2843"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.