Sleep Wake Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

003720-35 Issued in IN

Legal business name

SLEEP WAKE CENTER

Practice address

7217 Indianapolis Blvd
Hammond, IN 46324-2213

Phone

(219) 554-4084

Fax

(219) 554-4089

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Lourdes Canelas

Title

Administration

Phone

(219) 554-4084

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1902859366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 INDIANAPOLIS BLVD STE B",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "46324",
            "telephone_number": "219-554-4084",
            "fax_number": "219-554-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 INDIANAPOLIS BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242213",
            "telephone_number": "219-554-4084",
            "fax_number": "219-554-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WAKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "CANELAS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "219-554-4084"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IN",
            "license": "003720-35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200804000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rose Silas, MD
• Simpkins Medical Inc
• Ronald Joseph Skertich, SLP
• Vernedia Slaughter, ANP
• Aleysha Slaven, PTA
• SMH Electrocardiographers
• Amanda Smith, LMHC
• Danielle Devon Smith
• Eboni Lasha Smith, CNA
• Jana Smith, LMHC

• All providers in Hammond, IN
• Sleep Disorder Diagnostic Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.