Provider Demographics
NPI:1598922270
Name:TOTAL SLEEP HOLDINGS, INC
Entity Type:Organization
Organization Name:TOTAL SLEEP HOLDINGS, INC
Other - Org Name:SLEEP AVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUIDETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2857
Mailing Address - Street 1:1425 GREENWAY DR
Mailing Address - Street 2:STE 300
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2410
Mailing Address - Country:US
Mailing Address - Phone:972-550-1203
Mailing Address - Fax:972-550-1970
Practice Address - Street 1:6131 LUTHER LN
Practice Address - Street 2:STE 210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6223
Practice Address - Country:US
Practice Address - Phone:214-987-0534
Practice Address - Fax:214-987-0564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS115Medicare PIN