Provider Demographics
NPI: | 1295021814 |
---|---|
Name: | SLEEPOX, LLC |
Entity type: | Organization |
Organization Name: | SLEEPOX, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | CAROLINE |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | WRIGHT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 800-728-2788 |
Mailing Address - Street 1: | PO BOX 941960 |
Mailing Address - Street 2: | |
Mailing Address - City: | MAITLAND |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32794-1960 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 800-728-2788 |
Mailing Address - Fax: | 866-991-0388 |
Practice Address - Street 1: | 1720 KALISTE SALOOM ROAD |
Practice Address - Street 2: | SUITE A-6 |
Practice Address - City: | LAFAYETTE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70508 |
Practice Address - Country: | US |
Practice Address - Phone: | 800-728-2788 |
Practice Address - Fax: | 866-991-0388 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-06-22 |
Last Update Date: | 2020-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MS | 01533351 | Medicaid | |
LA | 2173731 | Medicaid |