Active NPI
Sleep Care Clinic LLC
Doing business as Sleep Care Clinic
- Sleep Disorder Diagnostic Clinic/Center
- Shreveport, LA
National Provider Identifier
1922770379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEP CARE CLINIC LLC
- Doing business as
- Sleep Care Clinic
- Practice address
- 7600 Fern Ave Ste 700a
Shreveport, LA 71105-5673 - Phone
- (318) 657-0187
- Fax
- (509) 426-2160
- NPI assigned
- Oct 4, 2021
- Last updated
- Apr 8, 2022
- Organization subpart
- Yes
- Parent organization
- SARAMED LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Roberts
- Title
- Billing and Credentialing
- Phone
- (318) 381-4759
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
7600 Fern Ave Ste 700a
Shreveport, LA 71105-5673
Mailing address
7600 Fern Ave Ste 700a
Shreveport, LA 71105-5673
Phone (318) 657-0187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3604116 | Medicaid | LA |
Other names 1
- SLEEP CARE CLINIC
National Provider Directory
National Provider Directory- Part of
- Saramed LLC
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.
-
dba Sleep Care Clinic
- Sleep Medicine (Family Medicine) Physician
- Shreveport, LA
- NPI 1730721853
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sleep Medicine (Family Medicine) Physician
- Shreveport, LA
- NPI 1437446341
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1053832287
-
- Physician Assistant
- Shreveport, LA
- NPI 1679587562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1922770379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 FERN AVE STE 700A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055673",
"telephone_number": "318-657-0187",
"fax_number": "318-404-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 FERN AVE STE 700A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055673",
"telephone_number": "318-657-0187",
"fax_number": "509-426-2160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP CARE CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SARAMED LLC",
"enumeration_date": "2021-10-04",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "BILLING AND CREDENTIALING",
"authorized_official_telephone_number": "318-381-4759"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3604116",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SLEEP CARE CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SLEEP CARE CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.