Provider Demographics
NPI:1194493338
Name:JUST SLEEP, LLC
Entity type:Organization
Organization Name:JUST SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAYMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-634-3861
Mailing Address - Street 1:5301 S SUPERSTITION MOUNTAIN DR STE 222
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85118-1919
Mailing Address - Country:US
Mailing Address - Phone:480-634-3861
Mailing Address - Fax:
Practice Address - Street 1:4747 S PRIMROSE DR
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-5901
Practice Address - Country:US
Practice Address - Phone:480-634-3861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic