Organization Active NPI

Sleep Wellness Equipment & Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Carbondale, IL
National Provider Identifier
1760726277
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SLEEP WELLNESS EQUIPMENT & SUPPLIES, LLC
Practice address
2731 West Main Street
Suite B
Carbondale, IL 62901
Phone
(618) 519-9700
Fax
(618) 549-9724
NPI assigned
Nov 21, 2012
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Mr. Fakhre Alam, MDNPI 1427033828
Title
Owner
Phone
(618) 549-6378

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2731 West Main Street
Suite B
Carbondale, IL 62901

Mailing address

2731 W Main St
Suite B
Carbondale, IL 62901-1027
Phone (618) 519-9700

Other names 1

  • Sleep Wellness Equipment & Supplies LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410001577 IL DME Supplier - Medical Supply Company With Respiratory Therapist 1951629559 Practice locations: Carbondale, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sleep Wellness Equipment & Supplies2731 W Main St, Carbondale, IL 62901-1028(618) 519-9700 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Dec 12, 2014

National Provider Directory

National Provider Directory

Locations

2731 W Main St
Ste B
Carbondale, IL 62901
Phone (618) 519-9700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1760726277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 W MAIN ST",
            "address_2": "SUITE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011027",
            "telephone_number": "618-519-9700",
            "fax_number": "618-549-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 WEST MAIN STREET",
            "address_2": "SUITE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-519-9700",
            "fax_number": "618-549-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELLNESS EQUIPMENT & SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "FAKHRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-549-6378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Wellness Equipment & Supplies LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.