Provider Demographics
NPI:1326079641
Name:SLEEP SOLUTIONS OF LOUISIANA LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF LOUISIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:EGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-273-6360
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:985-875-7557
Mailing Address - Fax:985-875-0595
Practice Address - Street 1:190 GREENBRIAR BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7237
Practice Address - Country:US
Practice Address - Phone:985-875-7557
Practice Address - Fax:985-875-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CH49Medicare UPIN