MEDICARE: TENNESSEE SLEEP SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1528460227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE SLEEP SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2505 21ST AVE S
Second Line	:	STE 204
City	:	NASHVILLE
State	:	TN
Zip	:	37212-5652
Country	:	US
Telephone Number	:	615-824-4833
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 21ST AVE S
Second Line	:	STE 204
City	:	NASHVILLE
State	:	TN
Zip	:	37212-5652
Country	:	US
Telephone Number	:	615-824-4833
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WARREN F MELAMED
Credential	:	DDS
Telephone Number	:	615-824-4833

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	03/14/2015

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