1255610671 NPI number — SLEEP LOGISTICS INTERNATIONAL, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255610671 NPI number — SLEEP LOGISTICS INTERNATIONAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP LOGISTICS INTERNATIONAL, 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:
1255610671
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2131 MOHIGAN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89169-3343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-845-3488
Provider Business Mailing Address Fax Number:
702-968-5186

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2641 W HORIZON RIDGE PKWY
Provider Second Line Business Practice Location Address:
SUITE #100
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89052-4830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-893-0020
Provider Business Practice Location Address Fax Number:
702-893-0025
Provider Enumeration Date:
08/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HELMCHEN
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
FRANKLIN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
702-845-3488

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  261QS1200X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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