Provider Demographics
NPI:1285109710
Name:HEALTHY SLEEP MIDWEST, LLC
Entity type:Organization
Organization Name:HEALTHY SLEEP MIDWEST, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOK
Authorized Official - Middle Name:A
Authorized Official - Last Name:DERENZY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-753-3737
Mailing Address - Street 1:8 WESTWOODS DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-3519
Mailing Address - Country:US
Mailing Address - Phone:816-753-3737
Mailing Address - Fax:816-781-7895
Practice Address - Street 1:2 WESTWOODS DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-3519
Practice Address - Country:US
Practice Address - Phone:816-753-3737
Practice Address - Fax:816-781-7895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies