Provider Demographics
NPI:1386209625
Name:NORTH COAST SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:NORTH COAST SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MINNILLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-452-5144
Mailing Address - Street 1:1212 ABBE RD N STE E
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1600
Mailing Address - Country:US
Mailing Address - Phone:440-366-2441
Mailing Address - Fax:440-366-6311
Practice Address - Street 1:1212 ABBE RD N STE E
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1600
Practice Address - Country:US
Practice Address - Phone:440-366-2441
Practice Address - Fax:440-366-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty