Provider Demographics
NPI:1750961744
Name:SIMPLY SLEEP, LLC
Entity type:Organization
Organization Name:SIMPLY SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCARROW
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT, RST, CCSH
Authorized Official - Phone:832-202-8499
Mailing Address - Street 1:401 W FAIRMONT PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-6314
Mailing Address - Country:US
Mailing Address - Phone:346-443-2389
Mailing Address - Fax:346-443-2398
Practice Address - Street 1:401 W FAIRMONT PKWY STE F
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6314
Practice Address - Country:US
Practice Address - Phone:346-443-2389
Practice Address - Fax:346-443-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment