Provider Demographics
NPI:1710423371
Name:RENEW SLEEP SOLUTIONS, INC.
Entity Type:Organization
Organization Name:RENEW SLEEP SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-405-7470
Mailing Address - Street 1:1050 TEXAN TRL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3741
Mailing Address - Country:US
Mailing Address - Phone:469-778-6100
Mailing Address - Fax:866-300-4682
Practice Address - Street 1:5422 W THUNDERBIRD RD STE 2
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4717
Practice Address - Country:US
Practice Address - Phone:844-859-2525
Practice Address - Fax:866-300-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty