Provider Demographics
NPI:1508136763
Name:THE SLEEP WELLNESS INSTITUTE INC
Entity Type:Organization
Organization Name:THE SLEEP WELLNESS INSTITUTE INC
Other - Org Name:CPAP2GO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHERFINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-328-5643
Mailing Address - Street 1:2356 S 102ND ST
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2104
Mailing Address - Country:US
Mailing Address - Phone:414-336-3000
Mailing Address - Fax:141-336-1015
Practice Address - Street 1:2320D E MORELAND BLVD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-2948
Practice Address - Country:US
Practice Address - Phone:262-754-0629
Practice Address - Fax:262-717-9102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SLEEP WELLNESS INSTITUTE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-05
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI328900000Medicaid
WI328900000Medicaid