Healthcare Provider Details

I. General information

NPI: 1568571149
Provider Name (Legal Business Name): SANFORD CENTER FOR SLEEP DISORDERS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CARTHAGE ST
SANFORD NC
27330-4206
US

IV. Provider business mailing address

PO BOX 865
SANFORD NC
27331-0865
US

V. Phone/Fax

Practice location:
  • Phone: 919-776-0512
  • Fax: 919-776-0517
Mailing address:
  • Phone: 919-776-0512
  • Fax: 919-776-0517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ED EVERETT HILLIS
Title or Position: MANAGER
Credential: RPSGT
Phone: 919-776-0512