Provider Demographics
NPI:1689210700
Name:HOME SLEEP SOLUTIONS, L.L.C.
Entity type:Organization
Organization Name:HOME SLEEP SOLUTIONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,SDS
Authorized Official - Phone:231-878-0578
Mailing Address - Street 1:7300 US HIGHWAY 131 S
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8439
Mailing Address - Country:US
Mailing Address - Phone:231-577-8331
Mailing Address - Fax:231-597-5068
Practice Address - Street 1:7300 US HIGHWAY 131 S
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8439
Practice Address - Country:US
Practice Address - Phone:231-577-8331
Practice Address - Fax:231-597-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-24
Last Update Date:2019-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1063588168Medicaid