Provider Demographics
NPI:1215172192
Name:HEALTHY HEART SLEEP PROGRAMS
Entity type:Organization
Organization Name:HEALTHY HEART SLEEP PROGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-784-5530
Mailing Address - Street 1:210 QUINCY AVE
Mailing Address - Street 2:HEALTHY HEART SLEEP PROGRAMS
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302
Mailing Address - Country:US
Mailing Address - Phone:877-928-4733
Mailing Address - Fax:781-634-0457
Practice Address - Street 1:2000 S THOMPSON ST
Practice Address - Street 2:HEALTHY HEART SLEEP PROGRAMS
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001
Practice Address - Country:US
Practice Address - Phone:800-345-6443
Practice Address - Fax:781-634-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1326185240Medicare NSC
MA1912181843Medicare NSC
MA1902952542Medicare NSC