Provider Demographics
NPI:1568780831
Name:HOME SLEEP DELIVERED, LLC
Entity Type:Organization
Organization Name:HOME SLEEP DELIVERED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN-CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURGEOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-857-3646
Mailing Address - Street 1:202 N. LUKE ST
Mailing Address - Street 2:101
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-1920
Mailing Address - Country:US
Mailing Address - Phone:337-857-3646
Mailing Address - Fax:337-857-3514
Practice Address - Street 1:1327 ERASTE LANDRY RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-1920
Practice Address - Country:US
Practice Address - Phone:337-857-3646
Practice Address - Fax:337-857-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic