Provider Demographics
NPI:1982905493
Name:SLEEP MANAGEMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SLEEP MANAGEMENT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:888-497-5337
Mailing Address - Street 1:4500 MCCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1806
Mailing Address - Country:US
Mailing Address - Phone:888-497-5337
Mailing Address - Fax:866-480-3349
Practice Address - Street 1:4500 MCCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1806
Practice Address - Country:US
Practice Address - Phone:888-497-5337
Practice Address - Fax:866-480-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVN/A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5742090001Medicare NSC