Healthcare Provider Details

I. General information

NPI: 1407224447
Provider Name (Legal Business Name): SLEEP MANAGEMENT, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 CALL RD SUITE 211
CHARLESTON WV
25312-6026
US

IV. Provider business mailing address

625 E KALISTE SALOOM RD
LAFAYETTE LA
70508-2540
US

V. Phone/Fax

Practice location:
  • Phone: 304-930-5776
  • Fax: 304-930-5576
Mailing address:
  • Phone: 337-500-1977
  • Fax: 337-504-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DANIEL BRETT STOUTE
Title or Position: CCO
Credential:
Phone: 337-500-1977