Provider Demographics
NPI:1053357863
Name:SLEEP SOLUTIONS OF GREATER NEW ORLEANS, LLC
Entity type:Organization
Organization Name:SLEEP SOLUTIONS OF GREATER NEW ORLEANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:G
Authorized Official - Last Name:ECKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-491-4987
Mailing Address - Street 1:2612 SEVERN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5935
Mailing Address - Country:US
Mailing Address - Phone:504-491-4987
Mailing Address - Fax:
Practice Address - Street 1:3100 GALLERIA DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2012
Practice Address - Country:US
Practice Address - Phone:504-598-6370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CK74Medicare UPIN