Provider Demographics
NPI:1740580513
Name:SLEEP SYNERGIES, LLC
Entity Type:Organization
Organization Name:SLEEP SYNERGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-460-6596
Mailing Address - Street 1:609 E SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-1972
Mailing Address - Country:US
Mailing Address - Phone:602-460-6596
Mailing Address - Fax:480-219-1647
Practice Address - Street 1:382 S BLUFF ST
Practice Address - Street 2:SUITE 250-A
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7376
Practice Address - Country:US
Practice Address - Phone:435-628-2730
Practice Address - Fax:480-219-1647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP ALTERNATIVES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-27
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6452530002Medicare NSC