Provider Demographics
NPI:1396096103
Name:AT HOME SLEEP SOLUTIONS
Entity type:Organization
Organization Name:AT HOME SLEEP SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-212-8379
Mailing Address - Street 1:9330 NE VANCOUVER MALL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662
Mailing Address - Country:US
Mailing Address - Phone:888-212-8379
Mailing Address - Fax:888-830-9475
Practice Address - Street 1:9330 NE VANCOUVER MALL DR.
Practice Address - Street 2:SUITE 202
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662
Practice Address - Country:US
Practice Address - Phone:888-212-8379
Practice Address - Fax:888-830-9475
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP MANAGEMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-20
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic