Healthcare Provider Details
I. General information
NPI: 1154710895
Provider Name (Legal Business Name): HOME SLEEP STUDIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2015
Last Update Date: 01/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3003 JEAN LAFITTE PKWY
CHALMETTE LA
70043-4058
US
IV. Provider business mailing address
3003 JEAN LAFITTE PKWY
CHALMETTE LA
70043-4058
US
V. Phone/Fax
- Phone: 504-908-1722
- Fax: 504-281-2328
- Phone: 504-908-1722
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
M
LOESCHER
Title or Position: MANAGING MEMBER
Credential:
Phone: 504-908-1722