Organization Active NPI

Respiratory Care LLC

Doing business as Savannah Sleep Disorder Ctr

  • Sleep Disorder Diagnostic Clinic/Center
  • Savannah, GA
National Provider Identifier
1932286390
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
RESPIRATORY CARE LLC
Doing business as
Savannah Sleep Disorder Ctr
Practice address
340 Hodgson CT
Ste 3
Savannah, GA 31406-1520
Phone
(912) 352-9049
Fax
(912) 352-8985
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mrs. Lake Walker Daly
Title
Owner Managing Member
Phone
(912) 352-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

340 Hodgson CT
Ste 3
Savannah, GA 31406-1520

Mailing address

340 Eisenhower Dr
BLDG. 1500
Savannah, GA 31406-1600
Phone (912) 352-9049

Other identifiers 3

IdentifierTypeStateIssuer
000526336EMedicaidGA
10057852OtherGAAMERIGROUP
374501OtherGAWELLCARE

Other names 1

  • Savannah Sleep Disorder Ctr Doing business as

National Provider Directory

National Provider Directory

Locations

340 Hodgson Ct
Bldg 200
Savannah, GA 31406
Phone (912) 352-9049

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1932286390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "BLDG. 1500",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-352-9049",
            "fax_number": "912-352-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT",
            "address_2": "STE 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061520",
            "telephone_number": "912-352-9049",
            "fax_number": "912-352-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRATORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "LAKE",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER MANAGING MEMBER",
        "authorized_official_telephone_number": "912-352-9049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000526336E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10057852",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "374501",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Sleep Disorder Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.