1043291602 NPI number — SLEEP HEALTH CENTERS LLC

Table of content: (NPI 1043291602)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043291602 NPI number — SLEEP HEALTH CENTERS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP HEALTH CENTERS LLC
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:
1043291602
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 ROSEWOOD DR
Provider Second Line Business Mailing Address:
STE. 104
Provider Business Mailing Address City Name:
DANVERS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01923-1389
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-774-7243
Provider Business Mailing Address Fax Number:
978-774-7421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1505 COMMONWEALTH AVE
Provider Second Line Business Practice Location Address:
5TH FLOOR
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02135-3605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-783-1441
Provider Business Practice Location Address Fax Number:
617-783-1448
Provider Enumeration Date:
11/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VALENTINE
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
C.E.O./ PRESIDENT
Authorized Official Telephone Number:
617-783-1441

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0017907 . This is a "NHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 41782 . This is a "FALLON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: A3593030 . This is a "OXFORD UHC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 806004 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2315147 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3400029 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 626134 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M17467 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com