Provider Demographics
NPI:1265753081
Name:SHORELINE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:SHORELINE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-870-6990
Mailing Address - Street 1:24800 HIGHPOINT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6052
Mailing Address - Country:US
Mailing Address - Phone:216-514-1803
Mailing Address - Fax:216-514-9241
Practice Address - Street 1:24800 HIGHPOINT RD
Practice Address - Street 2:SUITE A
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6052
Practice Address - Country:US
Practice Address - Phone:216-514-1803
Practice Address - Fax:216-514-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies