1952587842 NPI number — SLEEPCARE INSTITUTE, INC.

Table of content: (NPI 1952587842)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952587842 NPI number — SLEEPCARE INSTITUTE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEPCARE INSTITUTE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952587842
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
151 N PARK TRL
Provider Second Line Business Mailing Address:
STE B
Provider Business Mailing Address City Name:
STOCKBRIDGE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30281-7373
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-507-8344
Provider Business Mailing Address Fax Number:
770-507-1447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
836 E 65TH ST
Provider Second Line Business Practice Location Address:
BLDG 2
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31405-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-691-0031
Provider Business Practice Location Address Fax Number:
912-355-2360
Provider Enumeration Date:
01/10/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JENKINS
Authorized Official First Name:
BEVERLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
770-507-8344

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)