Provider Demographics
NPI:1992279020
Name:SLEEP CAROLINA LLC
Entity type:Organization
Organization Name:SLEEP CAROLINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZUFHAIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:HADI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:614-657-3477
Mailing Address - Street 1:4200 MORGANTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1564
Mailing Address - Country:US
Mailing Address - Phone:614-657-3477
Mailing Address - Fax:
Practice Address - Street 1:4200 MORGANTON RD STE 200
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1564
Practice Address - Country:US
Practice Address - Phone:614-657-3477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP CAROLINA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-11
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty