Provider Demographics
NPI:1780739235
Name:SHEEPLESS NIGHTS, LLC
Entity type:Organization
Organization Name:SHEEPLESS NIGHTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-662-2600
Mailing Address - Street 1:3236 BENSON RD STE C
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7408
Mailing Address - Country:US
Mailing Address - Phone:919-662-2600
Mailing Address - Fax:919-662-2739
Practice Address - Street 1:3236 BENSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7408
Practice Address - Country:US
Practice Address - Phone:919-662-2600
Practice Address - Fax:919-662-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01114332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704464Medicaid
NC5666800001Medicare NSC