Provider Demographics
NPI:1053865204
Name:SLEEP DATA HOLDINGS LLC
Entity Type:Organization
Organization Name:SLEEP DATA HOLDINGS LLC
Other - Org Name:SLEEP DATA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:
Authorized Official - First Name:BRETTON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BEINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-299-6299
Mailing Address - Street 1:5471 KEARNY VILLA RD.
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1105
Mailing Address - Country:US
Mailing Address - Phone:619-299-6299
Mailing Address - Fax:619-299-6222
Practice Address - Street 1:1415 RIDGEBACK RD
Practice Address - Street 2:STE 1
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6932
Practice Address - Country:US
Practice Address - Phone:619-299-6299
Practice Address - Fax:619-299-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies