Sleep Disorder Institute of Northwest Indiana LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

2005040400231 Issued in IN

Legal business name

SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC

Practice address

6040 Lute Rd
Suite a
Portage, IN 46368-5008

Phone

(219) 764-4567

Fax

(219) 764-4566

NPI assigned

May 23, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul L Abbott

Title

Administrator

Phone

(219) 263-7255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1912952706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 LUTE RD",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-764-4567",
            "fax_number": "219-764-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 LUTE RD",
            "address_2": "SUITE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-764-4567",
            "fax_number": "219-764-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-263-7255"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "IN",
            "license": "2005040400231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sims Signature Personal Care LLC. (Sims Signature Health Care LLC)
• Latresa Renee Sims
• Ravneet Singh, D.D.S.
• Ritika Singh, MD
• Patricia A Slamkowski, LPT
• Philip Sloboda
• Smile Crafters Dental Studio P.C
• Angelica Smith, PSYD
• Kimberly Ann Smith, RN
• Amy Lorraine Sobas, N.P.

• Other Technician in Portage, IN
• Providers in Portage, IN by specialty
• Other Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.