Provider Demographics
NPI:1801005111
Name:SLEEP SERVICES OF AMERICA, INC.
Entity Type:Organization
Organization Name:SLEEP SERVICES OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-760-6990
Mailing Address - Street 1:890 AIRPORT PARK RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2559
Mailing Address - Country:US
Mailing Address - Phone:410-760-6990
Mailing Address - Fax:410-760-9497
Practice Address - Street 1:3622 LYCKRAM PKWY
Practice Address - Street 2:SUITE 5003
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-403-1615
Practice Address - Fax:919-403-9246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC440345332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1186230001Medicare ID - Type Unspecified