Provider Demographics
NPI:1942841309
Name:COMPLETE SLEEP SERVICES LLC
Entity Type:Organization
Organization Name:COMPLETE SLEEP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SIVERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-264-8526
Mailing Address - Street 1:601 RIVER HIGHLANDS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8913
Mailing Address - Country:US
Mailing Address - Phone:985-264-8526
Mailing Address - Fax:
Practice Address - Street 1:601 RIVER HIGHLANDS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8913
Practice Address - Country:US
Practice Address - Phone:985-264-8526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic