Provider Demographics
NPI: | 1467631242 |
---|---|
Name: | SLEEPMED THERAPIES, INC |
Entity Type: | Organization |
Organization Name: | SLEEPMED THERAPIES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VP OF COMPLIANCE & CONTRACTING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANGELA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NAUFUL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 770-309-2000 |
Mailing Address - Street 1: | 60 CHASTAIN CENTER BLVD NW |
Mailing Address - Street 2: | SUITE 66 |
Mailing Address - City: | KENNESAW |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30144-5598 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 978-536-7400 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3811 E BELL RD STE 305 |
Practice Address - Street 2: | |
Practice Address - City: | PHOENIX |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85032 |
Practice Address - Country: | US |
Practice Address - Phone: | 978-536-7400 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-10-30 |
Last Update Date: | 2018-08-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AZ | 4181130054 | Medicare NSC |