Provider Demographics
NPI:1417114109
Name:TOTAL SLEEP HOLDINGS, INC.
Entity Type:Organization
Organization Name:TOTAL SLEEP HOLDINGS, INC.
Other - Org Name:SLEEP AVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUIDETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2857
Mailing Address - Street 1:1000 HURRICANE SHOALS RD NE
Mailing Address - Street 2:BLDG B, STE 800
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-4826
Mailing Address - Country:US
Mailing Address - Phone:770-237-8400
Mailing Address - Fax:770-237-8680
Practice Address - Street 1:4935 STEWART MILL RD
Practice Address - Street 2:STE 275
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-6733
Practice Address - Country:US
Practice Address - Phone:770-852-6010
Practice Address - Fax:770-852-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G470028Medicare PIN