1619455037 NPI number — SLEEP BETTER LOUISIANA, LLC

Table of content: (NPI 1619455037)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619455037 NPI number — SLEEP BETTER LOUISIANA, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP BETTER LOUISIANA, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619455037
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13373 HIGHWAY 3235
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAROSE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70373-2443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-798-3800
Provider Business Mailing Address Fax Number:
985-798-3803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13373 HIGHWAY 3235
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAROSE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-798-3800
Provider Business Practice Location Address Fax Number:
985-798-3803
Provider Enumeration Date:
07/30/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANDRAS
Authorized Official First Name:
DANT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
985-798-3800

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  5369 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X , with the licence number: 5369 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)