Healthcare Provider Details

I. General information

NPI: 1043246200
Provider Name (Legal Business Name): SLEEPMED THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 W SPROUL RD 102A
SPRINGFIELD PA
19064
US

IV. Provider business mailing address

60 CHASTAIN CENTER BLVD NW SUITE 66
KENNESAW GA
30144-5598
US

V. Phone/Fax

Practice location:
  • Phone: 610-543-0624
  • Fax: 610-543-4086
Mailing address:
  • Phone: 800-846-2973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0007604000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerINDEPENDENCE BLUE CROSS

VIII. Authorized Official

Name: MR. ANGELA NAUFUL
Title or Position: VP OF COMPLIANCE & CONTRACTING
Credential:
Phone: 770-309-2000