SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC (NPI# 1912952706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912952706 |
| Entity Type | Organization |
| Organization Name | SLEEP DISORDER INSTITUTE OF NORTHWEST INDIANA LLC |
| Practice Address |
6040 Lute Rd Suite A Portage IN 46368-5008 |
| Practice Telephone | 2197644567 |
| Practice Fax Number | 2197644566 |
| Mailing Telephone | 2197644567 |
| Mailing Fax Number | 2197644566 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | PAUL L ABBOTT (ADMINISTRATOR) |
| Authorized Official Telephone | 2192637255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 2005040400231 | IN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6040 LUTE RD SUITE A |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376828228 | Great Lakes Senior Care, LLC | Residential Treatment Facility, Physical Disabilities | 6040 Lute Rd, Portage, IN 46368-5008 | 2011-10-11 |
| 1801121496 | Zeenia Irani | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2009-10-15 |
| 1134367188 | Chester K Pablo | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2009-01-29 |
| 1477720274 | Ashleigh Louise Goetz | Occupational Therapy Assistant | 6040 Lute Rd, Portage, IN 46368-5008 | 2008-05-12 |
| 1871786350 | Ellen M Mccue | Occupational Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-08-20 |
| 1568652170 | Rolando Alicea | Occupational Therapy Assistant | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-30 |
| 1750571576 | Jill Armstrong | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-27 |
| 1427248244 | Rick D Logan | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-27 |
| 1275723009 | Patricia A Slamkowski | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-27 |
| 1639369457 | Paula A Bisseker | Physical Therapist | 6040 Lute Rd, Portage, IN 46368-5008 | 2007-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023554169 | Ashley Clandening | Technician, Other | 626 Ruth St, Portage, MI 49002-3559 | 2017-01-12 |
| 1891146320 | Melissa Carr | Technician, Other | 602 W Van Hoesen Blvd, Portage, MI 49024-1358 | 2016-06-27 |
| 1679921993 | Kathy Bolton | Technician, Other | 1814 Vickery Rd, Portage, MI 49002-7608 | 2016-05-26 |
| 1255714630 | Debbie Veeder | Technician, Other | 1117 Schuring Rd, Portage, MI 49024-5067 | 2015-07-03 |
| 1568764447 | Thomas A Mcclure | Technician, Other | 6944 Towhee St, Portage, MI 49024-3181 | 2010-11-25 |
| 1417385741 | Alissa Bailey | Technician, Other | 9616 Portage Rd, Portage, MI 49002-7257 | 2013-10-23 |
| 1528494762 | Johnathan Christian Bodjack | Technician, Other | 9616 Portage Rd, Portage, MI 49002-7257 | 2013-09-19 |
| 1265872733 | Elise Miriam Averitt | Technician, Other | 9616 Portage Rd, Portage, MI 49002-7257 | 2013-06-28 |
| 1740627793 | Kara Jokela | Technician, Other | 9616 Portage Rd, Portage, MI 49002-7257 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103485 | Lice Clinics of America- Northwest Indiana | Technician, Other | 1010 Breuckman Dr, Crown Point, IN 46307-7530 | 2018-05-02 |
| 1053864058 | Regina Reevesscaife | Technician, Other | 1611 S Vernon St, South Bend, IN 46613-3214 | 2016-07-27 |
| 1699127001 | Jaime Lynn Harvey | Technician, Other | 1653 Park Hurst Dr, Indianapolis, IN 46229-4130 | 2016-07-08 |
| 1447601265 | Dominique Simmons | Technician, Other | 5638 E 18th St, Indianapolis, IN 46218-5017 | 2016-06-22 |
| 1124474333 | Esther Kather | Technician, Other | 1216 Brook Run Dr, 3a, Mishawaka, IN 46544-9285 | 2016-05-05 |
| 1215393780 | Kirt Anthony Shepard | Technician, Other | 1106 S 20th St, Apt 321 A, South Bend, IN 46615-1668 | 2016-01-13 |
| 1467818104 | Monica Fryska | Technician, Other | 15121 Clifden Dr, Granger, IN 46530-8205 | 2016-01-11 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1619364312 | Latoya Janae Swanson | Technician, Other | 52718 E Cypress Cir, South Bend, IN 46637-4607 | 2015-04-20 |
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
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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.