Portable Sleep Solutions LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PORTABLE SLEEP SOLUTIONS LLC

Practice address

820 SW Adams St
Peoria, IL 61602-1623

Phone

(309) 822-1046

NPI assigned

Jun 22, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Coates, CRT, RPSGT

Title

Manager

Phone

(309) 645-0689

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561161600000",
    "number": "1881255784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 TAZEWOOD RD",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615487302",
            "telephone_number": "309-822-1046",
            "fax_number": "309-210-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021623",
            "telephone_number": "309-822-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-645-0689",
        "authorized_official_credential": "CRT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Polomis
• Lauren S Ponder, APN
• Hevin Poon
• Jarod Collin Pope, MD
• Katlyn Nicole Popken, OTD, OTR/L
• David L Porter, DO
• Sylvia Joyce Porter, MA, NCC, LCPC
• Bradley Allen Post, LCSW
• Ryan Gerald Potempa, MS, LMFT
• Shirley Potts

• Durable Medical Equipment & Medical Supplies in Peoria, IL
• Providers in Peoria, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.