Provider Demographics
NPI:1114196821
Name:COSTRINI SLEEP SERVICES, INC.
Entity Type:Organization
Organization Name:COSTRINI SLEEP SERVICES, INC.
Other - Org Name:GOOD SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COSTRINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-927-6680
Mailing Address - Street 1:11700 MERCH BLVD
Mailing Address - Street 2:PLAZA D, BUILDING 5
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1753
Mailing Address - Country:US
Mailing Address - Phone:912-927-6680
Mailing Address - Fax:912-927-6254
Practice Address - Street 1:790 FRANK COCHRAN DR
Practice Address - Street 2:SUITE 112
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3915
Practice Address - Country:US
Practice Address - Phone:912-368-3708
Practice Address - Fax:912-368-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5419700001Medicare NSC