NPIMap

Organization Active NPI

Cleveland Health Ventures LLC

Doing business as Carolinas Sleep Services-Cleveland

  • Sleep Medicine (Internal Medicine) Physician
  • Kings Mountain, NC
National Provider Identifier
1760760052
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
CLEVELAND HEALTH VENTURES LLC
Doing business as
Carolinas Sleep Services-Cleveland
Practice address
825 E. King Street
Kings Mountain, NC 28086-3186
Phone
(704) 650-6551
Fax
(704) 512-4808
NPI assigned
Aug 3, 2011
Last updated
Jul 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEVELAND HEALTH VENTURES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Authorized official

Name
Mr. Daniel J. Wiens
Title
Vice-President of Operations
Phone
(704) 667-0410

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU
Neurology Physician 2084N0400X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

825 E. King Street
Kings Mountain, NC 28086-3186

Mailing address

PO Box 601884
Charlotte, NC 28260-1884
Phone (704) 650-6551

Other identifiers 1

IdentifierTypeStateIssuer
5918476MedicaidNC

Other names 1

  • Carolinas Sleep Services-Cleveland Doing business as

National Provider Directory

National Provider Directory
Part of
Cleveland Health Ventures

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1760760052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601884",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601884",
            "telephone_number": "704-650-6551",
            "fax_number": "704-512-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E. KING STREET",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863186",
            "telephone_number": "704-650-6551",
            "fax_number": "704-512-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HEALTH VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND HEALTH VENTURES LLC",
        "enumeration_date": "2011-08-03",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "704-667-0410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918476",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Sleep Services-Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.