Provider Demographics
NPI:1497990444
Name:40 WINKS SLEEP LLC
Entity Type:Organization
Organization Name:40 WINKS SLEEP LLC
Other - Org Name:HOME SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-427-1175
Mailing Address - Street 1:6830 NE BOTHELL WAY # C-309
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3546
Mailing Address - Country:US
Mailing Address - Phone:206-790-6129
Mailing Address - Fax:888-267-0591
Practice Address - Street 1:7612 NE 197TH CT
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2076
Practice Address - Country:US
Practice Address - Phone:206-790-6129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty