Provider Demographics
NPI:1881254233
Name:HEALTHY SLEEP CENTER
Entity type:Organization
Organization Name:HEALTHY SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-904-1020
Mailing Address - Street 1:1040 TRUMP RD NW STE 300
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615-9472
Mailing Address - Country:US
Mailing Address - Phone:330-944-1020
Mailing Address - Fax:
Practice Address - Street 1:1040 TRUMP RD NW
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615-9472
Practice Address - Country:US
Practice Address - Phone:330-624-5666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service