Organization Active NPI

Just Sleep, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Walterboro, SC
National Provider Identifier
1730719535
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
JUST SLEEP, LLC
Practice address
416F Robertson Blvd
Walterboro, SC 29488-2756
Phone
(803) 331-5772
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Mr. Steven Glen Sullivan, RT, RPSGTNPI 1497311062
Title
Owner
Phone
(803) 331-5772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

416F Robertson Blvd
Walterboro, SC 29488-2756

Mailing address

803 Hope Rd
Branchville, SC 29432-2526
Phone (803) 331-5772

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Walterboro Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200406000783 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890122899 Practice locations: Walterboro, SC
O20230125001108 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890122899 Practice locations: Orangeburg, SC

National Provider Directory

National Provider Directory

Locations

1703 Village Park Dr
Orangeburg, SC 29118
Phone (803) 533-0083

416 Robertson Blvd
#F
Walterboro, SC 29488
Phone (843) 782-4270

Practitioners & affiliated clinicians

Practitioners 2

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": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1730719535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 HOPE RD",
            "city": "BRANCHVILLE",
            "state": "SC",
            "postal_code": "294322526",
            "telephone_number": "803-331-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416F ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882756",
            "telephone_number": "803-331-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-331-5772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walterboro",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Walterboro",
            "address_1": "416F Robertson Blvd",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294882756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.