Organization Active NPI

Vital Sleep, LLC

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
National Provider Identifier
1912080219
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0076806A Issued in TX
Legal business name
VITAL SLEEP, LLC
Practice address
9707 Anderson Mill Rd Ste 150
Austin, TX 78750-2298
Phone
(318) 222-0885
Fax
(318) 222-0883
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Lea Desmarteau
Title
Ceo
Phone
(318) 222-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0076806A TX Primary

Addresses

Primary practice location

9707 Anderson Mill Rd Ste 150
Austin, TX 78750-2298

Mailing address

8835 Line Ave
Suite 500
Shreveport, LA 71106-6722
Phone (318) 222-0885

Other identifiers 4

IdentifierTypeStateIssuer
3457215OtherTXCIGNA PROVIDER NUMBER
531029OtherTXBCBS DME PROVIDER NUMBER
7365296OtherTXAETNA PROVIDER NUMBER
PL7071OtherTXBCBS DX PROVIDER NUMBER

Other names 1

  • Wellnecessities of Dallas Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1912080219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 LINE AVE",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066722",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502298",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DESMARTEAU",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-222-0885"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0076806A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "3457215",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER NUMBER",
            "identifier": "531029",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7365296",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DX PROVIDER NUMBER",
            "identifier": "PL7071",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellnecessities of Dallas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.