Provider Demographics
NPI:1174831424
Name:SLEEP SOLUTIONS OF THE NORTHSHORE, L.L.C.
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF THE NORTHSHORE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-875-7557
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-0699
Mailing Address - Country:US
Mailing Address - Phone:985-875-7557
Mailing Address - Fax:985-875-0595
Practice Address - Street 1:2621 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-6435
Practice Address - Country:US
Practice Address - Phone:985-892-3838
Practice Address - Fax:985-249-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies