Provider Demographics
NPI:1518124155
Name:EPOCH SLEEP CENTERS, LLC
Entity Type:Organization
Organization Name:EPOCH SLEEP CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRENDA
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RPSGT
Authorized Official - Phone:401-541-9188
Mailing Address - Street 1:1407 S COUNTY TRL
Mailing Address - Street 2:SUITE 430 UNIT B
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1624
Mailing Address - Country:US
Mailing Address - Phone:401-541-9188
Mailing Address - Fax:401-541-9199
Practice Address - Street 1:6 BLACKSTONE VALLEY PL STE 707
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1170
Practice Address - Country:US
Practice Address - Phone:401-286-9201
Practice Address - Fax:401-541-9199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic