Healthcare Provider Details

I. General information

NPI: 1295915981
Provider Name (Legal Business Name): REST ASSURED SLEEP CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 WORTHINGTON BLVD SUITE 205
FREDERICK MD
21704-7017
US

IV. Provider business mailing address

1906 TOWNE CENTRE BLVD SUITE 360
ANNAPOLIS MD
21401-3676
US

V. Phone/Fax

Practice location:
  • Phone: 410-897-8445
  • Fax: 866-429-2689
Mailing address:
  • Phone: 410-897-8445
  • Fax: 866-429-2689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License NumberR2345
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberR2345
License Number StateMD

VIII. Authorized Official

Name: MS. JUMOKE AKINNAGBE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 410-897-8445