Healthcare Provider Details

I. General information

NPI: 1255588547
Provider Name (Legal Business Name): ADVANCED SLEEP SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 01/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 COLUMBIA RD SUITE 101
WESTLAKE OH
44145-1487
US

IV. Provider business mailing address

PO BOX 770267
LAKEWOOD OH
44107-0019
US

V. Phone/Fax

Practice location:
  • Phone: 216-521-3227
  • Fax: 216-521-3227
Mailing address:
  • Phone: 216-521-3227
  • Fax: 216-521-3227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL C. VENIZELOS
Title or Position: PRESIDENT
Credential:
Phone: 216-521-3227