Provider Demographics
NPI:1912221979
Name:SLEEP AT HOME
Entity Type:Organization
Organization Name:SLEEP AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:775-790-4333
Mailing Address - Street 1:PO BOX 34255
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-4255
Mailing Address - Country:US
Mailing Address - Phone:775-790-4333
Mailing Address - Fax:888-269-5537
Practice Address - Street 1:8880 CHIPSHOT TRL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-6809
Practice Address - Country:US
Practice Address - Phone:775-790-4333
Practice Address - Fax:888-269-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic