VITAL SLEEP, LLC


Address: 9707 Anderson Mill Rd Ste 150, Austin, TX 78750-2298
Phone: 3182220885

VITAL SLEEP, LLC (NPI# 1912080219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912080219
Entity Type Organization
Organization Name VITAL SLEEP, LLC
Other Organization Name WELLNECESSITIES OF DALLAS
Practice Address 9707 Anderson Mill Rd Ste 150
Austin
TX 78750-2298
Mailing Address 8835 Line Ave
Suite 500
Shreveport
LA 71106-6722
Practice Telephone 3182220885
Practice Fax Number 3182220883
Mailing Telephone 3182220885
Mailing Fax Number 3182220883
Enumeration Date 2006-10-23
Last Update Date 2011-03-22
Authorized Official Name LEA DESMARTEAU (CEO)
Authorized Official Telephone 3182220885
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 0076806A TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS DME PROVIDER NUMBER 531029 01
TX AETNA PROVIDER NUMBER 7365296 01
TX BCBS DX PROVIDER NUMBER PL7071 01
TX CIGNA PROVIDER NUMBER 3457215 01

Other Provider/Organization Names

Other Name Type Code
Wellnecessities of Dallas Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679624209 Vital Sleep, LLC Clinic/Center 9707 Anderson Mill Rd, Suite 150, Austin, TX 78750-2298 2007-01-12

Office Location

Street Address 9707 ANDERSON MILL RD STE 150
City AUSTIN
State TX
Zip Code 78750-2298

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1275960460 Kristyn Magoon Physician Assistant 13617 Caldwell Dr., Suite 100, Austin, TX 78750 2013-10-02
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

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NPI Name Taxonomy Address Enumeration
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1467076802 Affordable Dme LLC Durable Medical Equipment & Medical Supplies 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 2020-06-02
1518589571 Lotus Medical Equipment LLC Durable Medical Equipment & Medical Supplies 2109 Fortview Rd, Austin, TX 78704-7511 2020-05-13
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1710538152 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 313 2nd Ave Ne, Austin, MN 55912 2019-09-26
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Competitor

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City AUSTIN
Zip Code 78750

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Dataset Information

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.

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