Provider Demographics
NPI:1558532754
Name:SLEEP GROUP HOLDINGS, LLC
Entity Type:Organization
Organization Name:SLEEP GROUP HOLDINGS, LLC
Other - Org Name:SLEEP CARE SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-941-0872
Mailing Address - Street 1:4081 BANCROFT DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6937
Mailing Address - Country:US
Mailing Address - Phone:916-941-0872
Mailing Address - Fax:916-941-0872
Practice Address - Street 1:3650 S POINTE CIR
Practice Address - Street 2:SUITE 104A
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-0424
Practice Address - Country:US
Practice Address - Phone:702-298-0014
Practice Address - Fax:702-298-0081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP GROUP HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-14
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1007127821332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6195250001Medicare NSC