Healthcare Provider Details

I. General information

NPI: 1962810853
Provider Name (Legal Business Name): SLEEP MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 OFFICE PARK CIR SUITE 212
MOUNTAIN BRK AL
35223-2512
US

IV. Provider business mailing address

1325 ERASTE LANDRY RD
LAFAYETTE LA
70506-1920
US

V. Phone/Fax

Practice location:
  • Phone: 205-703-8866
  • Fax: 205-703-8864
Mailing address:
  • Phone: 337-504-3802
  • Fax: 337-504-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CASEY BRYAN HOYT
Title or Position: MEMBER
Credential:
Phone: 337-504-3802