Healthcare Provider Details
I. General information
NPI: 1134480643
Provider Name (Legal Business Name): HOMESLEEP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2012
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
37 W CENTURY RD SUITE 107
PARAMUS NJ
07652-1409
US
IV. Provider business mailing address
37 W CENTURY RD SUITE 107
PARAMUS NJ
07652-1409
US
V. Phone/Fax
- Phone: 201-967-1111
- Fax: 855-967-1112
- Phone: 201-967-1111
- Fax: 855-967-1112
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246Z00000X |
| Taxonomy | Other Specialist/Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSEPH
PIGNATARO
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 201-967-1111