Provider Demographics
NPI:1689857468
Name:SLEEPWELL PARTNER LLC
Entity Type:Organization
Organization Name:SLEEPWELL PARTNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAI
Authorized Official - Middle Name:
Authorized Official - Last Name:WENK-WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-863-0490
Mailing Address - Street 1:17780 FITCH
Mailing Address - Street 2:SUITE 240
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6038
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10499 S JORDAN GTWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3915
Practice Address - Country:US
Practice Address - Phone:801-523-7533
Practice Address - Fax:801-523-3707
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVASTRA USA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT5885200002Medicare NSC