OMNISLEEP LLC (NPI# 1164410528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164410528 |
Entity Type | Organization |
Organization Name | OMNISLEEP LLC |
Other Organization Name | OMNISLEEP |
Practice Address |
3810 Masthead St Ne Albuquerque NM 87109-4479 |
Practice Telephone | 5058438758 |
Practice Fax Number | 5058438759 |
Mailing Telephone | 5058438758 |
Mailing Fax Number | 5058438759 |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-06-10 |
Authorized Official Name | JOHN CRAIG EAVES (CEO) |
Authorized Official Telephone | 5058438758 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
N | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 227800000X | Respiratory Therapist, Certified | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 227900000X | Respiratory Therapist, Registered | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 95877321 | 05 | |
NM | 81323395 | 05 |
Other Name | Type Code |
---|---|
OmniSleep | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
1508093469 | Omnisleep LLC | Family Medicine | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2009-06-18 |
Street Address |
3810 MASTHEAD ST NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87109-4479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437147899 | John Craig Eaves | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
1508093469 | Omnisleep LLC | Family Medicine | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2009-06-18 |
1366464851 | New Mexico Colon & Rectal Surgery Associates | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-24 |
1972524619 | Calvin Dudley | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
Find all providers in zip 87109 |
Taxonomy Code | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881798981 | Maimonides Sleep Arts & Sciences | Clinic/Center | 6739 Academy Ne, Suite 380, Albuquerque, NM 87109 | 2006-09-11 |
1700291697 | Southwest Home Sleep Testing Inc. | Clinic/Center | 2929 Coors Blvd Nw, Suite 310m, Albuquerque, NM 87120-1681 | 2014-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508403528 | St Vincent Hospital | Clinic/Center | 440 Saint Michaels Dr Ste 150, Santa Fe, NM 87505-7637 | 2019-12-09 |
1952951675 | Swsleep Inc | Clinic/Center | 3401 N Butler Ave, Ste 105, Farmington, NM 87401-6867 | 2019-09-14 |
1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
1477710689 | The Victorian House Sleep Center LLC | Clinic/Center | 4036 Corrales Rd, Corrales, NM 87048-9308 | 2008-05-16 |
1962691170 | Judahcorp, Inc | Clinic/Center | 1020 W 21st St, Clovis, NM 88101-4150 | 2007-10-24 |
1134290885 | Sleep Recording Services | Clinic/Center | 1749 Round Up Dr Ne, Rio Rancho, NM 87144-6291 | 2006-11-13 |
1063517126 | Quality Sleep Solutions, Inc. | Clinic/Center | 1009 Golf Course Rd Se, Suite 109, Rio Rancho, NM 87124-2058 | 2006-09-13 |
1144246224 | The Sleep Center of Farmington | Clinic/Center | 413 N Auburn Ave, Farmington, NM 87401-5840 | 2006-07-14 |
1659314417 | Cosmos Health Services LLC | Clinic/Center | 2210 W Alameda St, Santa Fe, NM 87507-9410 | 2006-06-13 |
1588223150 | Pinon Sleep Center, LLC | Clinic/Center | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2019-06-07 |
Find all providers with the same taxonomy |
City | ALBUQUERQUE |
Zip Code | 87109 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.