Organization Active NPI

Sleep Care Clinic LLC

Doing business as Sleep Care Clinic

  • Sleep Disorder Diagnostic Clinic/Center
  • Shreveport, LA
National Provider Identifier
1922770379
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SARAMED LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3604116MedicaidLA

Other names 1

  • SLEEP CARE CLINIC Doing business as

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.

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.

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.

Verify at the official NPI Registry.