Provider Demographics
| NPI: | 1295021814 |
|---|---|
| Name: | SLEEPOX, LLC |
| Entity type: | Organization |
| Organization Name: | SLEEPOX, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | CAROLINE |
| Authorized Official - Middle Name: | W |
| Authorized Official - Last Name: | WRIGHT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 800-728-2788 |
| Mailing Address - Street 1: | PO BOX 941960 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MAITLAND |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32794-1960 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 800-728-2788 |
| Mailing Address - Fax: | 866-991-0388 |
| Practice Address - Street 1: | 1720 KALISTE SALOOM ROAD |
| Practice Address - Street 2: | SUITE A-6 |
| Practice Address - City: | LAFAYETTE |
| Practice Address - State: | LA |
| Practice Address - Zip Code: | 70508 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-728-2788 |
| Practice Address - Fax: | 866-991-0388 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-06-22 |
| Last Update Date: | 2020-11-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MS | 01533351 | Medicaid | |
| LA | 2173731 | Medicaid |