Provider Demographics
NPI:1528247301
Name:THE SLEEP WELLNESS INSTITUTE INC
Entity type:Organization
Organization Name:THE SLEEP WELLNESS INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-336-3000
Mailing Address - Street 1:2400 S 102ND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2132
Mailing Address - Country:US
Mailing Address - Phone:414-336-3000
Mailing Address - Fax:414-336-1015
Practice Address - Street 1:2400 S 102ND ST STE 102
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-2132
Practice Address - Country:US
Practice Address - Phone:414-336-3000
Practice Address - Fax:414-336-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336182237OtherNPI DR LEO
1811924343OtherNPI DR DAVOODI
1140390002OtherNPI DME
1144380577OtherNPI DR HARDEN
1600270OtherUNITED HEALTHCARE GROUP #
110004519OtherWEA GROUP NUMBER
470000838OtherRAILROAD MEDICARE GROUP #
1255505848OtherNPI DR COTTRELL
1528247301OtherRAILROAD GROUP NPI
WI31557000Medicaid
6758909Other'CIGNA GROUP #
1275694291OtherNPI DR KUMAR
1912981796OtherNPI DR JACOBSON
470000838OtherMEDICARE RAILROAD GROUP NUMBER
21946OtherPHCS GROUP #
WI30024600Medicaid
1144380577OtherRAILROAD GROUP NPI
1780820332OtherNPI DEBORAH REED
WI32890000Medicaid
WI43734900Medicaid
WI43819900Medicaid
WI31557000Medicaid
00052587Medicare PIN
1528247301OtherRAILROAD GROUP NPI
21946OtherPHCS GROUP #
1144380577OtherNPI DR HARDEN
1255505848OtherNPI DR COTTRELL
1336182237OtherNPI DR LEO
000092105Medicare PIN
6758909Other'CIGNA GROUP #
470000838OtherMEDICARE RAILROAD GROUP NUMBER
470000838OtherRAILROAD MEDICARE GROUP #
1912981796OtherNPI DR JACOBSON
WI30024600Medicaid