Provider Demographics
NPI:1962431528
Name:SLEEPMED THERAPIES INC.
Entity type:Organization
Organization Name:SLEEPMED THERAPIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF COMPLIANCE & CONTRACTING
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUFUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-309-2000
Mailing Address - Street 1:1000 COBB PLACE BLVD NW
Mailing Address - Street 2:SUITE 510
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3682
Mailing Address - Country:US
Mailing Address - Phone:800-846-2973
Mailing Address - Fax:
Practice Address - Street 1:1000 COBB PLACE BLVD NW
Practice Address - Street 2:SUITE 510
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144
Practice Address - Country:US
Practice Address - Phone:770-516-5455
Practice Address - Fax:678-260-6702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00885695ABMedicaid
GA10059280OtherAMERIGROUP
GA356411OtherWELLCARE - PIN
GA356411OtherWELLCARE - PIN