Provider Demographics
NPI:1548453434
Name:TOTAL SLEEP THERAPY, LLC
Entity type:Organization
Organization Name:TOTAL SLEEP THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAMMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:CRT,RCP
Authorized Official - Phone:910-642-5353
Mailing Address - Street 1:721B DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-6003
Mailing Address - Country:US
Mailing Address - Phone:910-642-5353
Mailing Address - Fax:910-642-8383
Practice Address - Street 1:721B DAVIS AVE
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-6003
Practice Address - Country:US
Practice Address - Phone:910-642-5353
Practice Address - Fax:910-642-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704792Medicaid
NC6009130001Medicare NSC