Provider Demographics
NPI:1912181843
Name:HEALTHY HEART SLEEP PROGRAMS, INC.
Entity Type:Organization
Organization Name:HEALTHY HEART SLEEP PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-799-3120
Mailing Address - Street 1:210 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2862
Mailing Address - Country:US
Mailing Address - Phone:781-784-5530
Mailing Address - Fax:781-634-0457
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 314
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190
Practice Address - Country:US
Practice Address - Phone:781-952-1460
Practice Address - Fax:781-952-1465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1902952542Medicare NSC
NJ1326185240Medicare NSC