Organization Active NPI

Institute of Sleep & Wellness LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Southfield, MI
National Provider Identifier
1770717431
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
4301405226 Issued in MI
Legal business name
INSTITUTE OF SLEEP & WELLNESS LLC
Practice address
24361 Greenfield Rd
Suite 209
Southfield, MI 48075-3139
Phone
(248) 443-8487
Fax
(586) 263-8155
NPI assigned
May 11, 2009
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
INSTITUTE OF SLEEP & WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Mr. Antony Minicuci
Title
Owner
Phone
(586) 263-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 4301405226 MI Primary

Addresses

Primary practice location

24361 Greenfield Rd
Suite 209
Southfield, MI 48075-3139

Mailing address

15930 19 Mile Rd
Suite 140
Clinton TWP, MI 48038-1155
Phone (586) 263-8144

National Provider Directory

National Provider Directory
Tax ID family
Institute of Sleep LLC2 organizations share this tax ID, including this one
Part of
Institute of Sleep LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24361 Greenfield Rd
Ste 209
Southfield, MI 48075
Phone (248) 443-8487

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": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1770717431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD",
            "address_2": "SUITE 140",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-263-8144",
            "fax_number": "586-263-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD",
            "address_2": "SUITE 209",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753139",
            "telephone_number": "248-443-8487",
            "fax_number": "586-263-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF SLEEP & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE OF SLEEP & WELLNESS LLC",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "MINICUCI",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-263-8144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MI",
            "license": "4301405226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.