Healthcare Provider Details

I. General information

NPI: 1457518102
Provider Name (Legal Business Name): TOTAL SLEEP HOLDINGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 NW EXECUTIVE WAY STE 103
LEES SUMMIT MO
64063-1842
US

IV. Provider business mailing address

251 NW EXECUTIVE WAY STE 103
LEES SUMMIT MO
64063-1842
US

V. Phone/Fax

Practice location:
  • Phone: 913-393-0466
  • Fax: 913-393-0717
Mailing address:
  • Phone: 913-393-0466
  • Fax: 913-393-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM J GUIDETTI
Title or Position: CEO
Credential:
Phone: 469-499-2857