Healthcare Provider Details

I. General information

NPI: 1326199019
Provider Name (Legal Business Name): SLEEP CARE SOLUTIONS OF HIALEAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 W, 29TH AVENUE SUITE 532
HIALEAH FL
33016
US

IV. Provider business mailing address

5211 LINBAR DR SUITE 508
NASHVILLE TN
37211
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-8800
  • Fax:
Mailing address:
  • Phone: 615-333-5011
  • Fax: 615-333-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberHCC5719
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY POWERS
Title or Position: PRESIDENT
Credential:
Phone: 407-740-4080