Provider Demographics
NPI:1689809048
Name:ELITE SLEEP SOLUTIONS INC
Entity Type:Organization
Organization Name:ELITE SLEEP SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-892-2843
Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-5127
Mailing Address - Country:US
Mailing Address - Phone:409-892-2843
Mailing Address - Fax:409-892-2943
Practice Address - Street 1:8035 EASTEX FWY
Practice Address - Street 2:SUITE C
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-2402
Practice Address - Country:US
Practice Address - Phone:409-892-2843
Practice Address - Fax:409-892-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic