Provider Demographics
NPI:1508869173
Name:SLEEP HEALTH CENTERS LLC
Entity Type:Organization
Organization Name:SLEEP HEALTH CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-499-0776
Mailing Address - Street 1:1108 CITY PARK AVE
Mailing Address - Street 2:FL2
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3583
Mailing Address - Country:US
Mailing Address - Phone:614-384-7433
Mailing Address - Fax:614-386-0278
Practice Address - Street 1:1505 COMMONWEALTH AVE
Practice Address - Street 2:3RD
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3605
Practice Address - Country:US
Practice Address - Phone:617-782-0784
Practice Address - Fax:614-386-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA602592OtherTUFTS HEALTH PLAN
MA2315147OtherAETNA
MA3400029OtherUNITED HEALTHCARE
MAA3593030OtherOXFORD UHC
MA387454OtherBCBS OF MA
MA0017907OtherNEIGHBORHOOD HEALTH PLAN
MA626134OtherHARVARD PILGRIM
MA3400029OtherUNITED HEALTHCARE
MAA3593030OtherOXFORD UHC
MA387454OtherBCBS OF MA
MA=========OtherHUHS
MA=========OtherTRICARE
MA626134OtherHARVARD PILGRIM
MA=========OtherHOMELINK
MA=========OtherTRICARE