Provider Demographics
NPI:1013639251
Name:COMPREHENSIVE SLEEP SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE SLEEP SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:727-259-2255
Mailing Address - Street 1:PO BOX 746078
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6078
Mailing Address - Country:US
Mailing Address - Phone:800-284-2006
Mailing Address - Fax:
Practice Address - Street 1:4425 E AGAVE RD STE 101 BLDG 3
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-0620
Practice Address - Country:US
Practice Address - Phone:602-313-2582
Practice Address - Fax:602-635-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty