Healthcare Provider Details

I. General information

NPI: 1346064490
Provider Name (Legal Business Name): HEALTHY SLEEP MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5777 W MAPLE RD STE 185
WEST BLOOMFIELD MI
48322-2268
US

IV. Provider business mailing address

5777 W MAPLE RD STE 185
WEST BLOOMFIELD MI
48322-2268
US

V. Phone/Fax

Practice location:
  • Phone: 248-688-0088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNA KADO
Title or Position: OWNER
Credential: MD
Phone: 248-688-0088