Provider Demographics
NPI:1801295423
Name:HOOSIER SLEEP SOLUTIONS LLC
Entity type:Organization
Organization Name:HOOSIER SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-579-5056
Mailing Address - Street 1:11559 CUMBERLAND RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9784
Mailing Address - Country:US
Mailing Address - Phone:317-579-5400
Mailing Address - Fax:317-579-5410
Practice Address - Street 1:11559 CUMBERLAND RD
Practice Address - Street 2:STE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9784
Practice Address - Country:US
Practice Address - Phone:317-579-5400
Practice Address - Fax:317-579-5410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008575332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment