Provider Demographics
NPI:1659763522
Name:SLEEP MANAGEMENT SERVICES LLC
Entity Type:Organization
Organization Name:SLEEP MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:TARTAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-931-3050
Mailing Address - Street 1:255 CHERRY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3503
Mailing Address - Country:US
Mailing Address - Phone:203-931-3050
Mailing Address - Fax:
Practice Address - Street 1:255 CHERRY ST
Practice Address - Street 2:SUITE A
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3503
Practice Address - Country:US
Practice Address - Phone:203-931-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006676261Q00000X, 261QD0000X, 261QS1200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies