Provider Demographics
NPI:1194828160
Name:REST ASSURED SLEEP CENTERS LLC
Entity Type:Organization
Organization Name:REST ASSURED SLEEP CENTERS LLC
Other - Org Name:REST ASSURED SLEEP LABS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUME
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINNAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-897-8445
Mailing Address - Street 1:2629 RIVA ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-897-8445
Mailing Address - Fax:410-897-8448
Practice Address - Street 1:2401 BRANDERMILL BLVD
Practice Address - Street 2:SUITE 230A
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054
Practice Address - Country:US
Practice Address - Phone:410-897-8445
Practice Address - Fax:410-897-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11658041261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y17549Medicare UPIN
FMS005Medicare ID - Type Unspecified