Provider Demographics
NPI:1689882177
Name:SLEEP SERVICES OF AMERICA
Entity Type:Organization
Organization Name:SLEEP SERVICES OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-527-5970
Mailing Address - Street 1:430 WOODRUFF RD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3495
Mailing Address - Country:US
Mailing Address - Phone:864-527-5970
Mailing Address - Fax:864-527-5971
Practice Address - Street 1:465 COLUMBUS AVE
Practice Address - Street 2:STE 205
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1336
Practice Address - Country:US
Practice Address - Phone:914-366-4870
Practice Address - Fax:888-367-6555
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDBRIDGE ACQUISITION CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========COtherSTATE TAX ID