Provider Demographics
NPI:1295915981
Name:REST ASSURED SLEEP CENTERS, LLC
Entity type:Organization
Organization Name:REST ASSURED SLEEP CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINNAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-897-8445
Mailing Address - Street 1:1906 TOWNE CENTRE BLVD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3676
Mailing Address - Country:US
Mailing Address - Phone:410-897-8445
Mailing Address - Fax:866-429-2689
Practice Address - Street 1:3430 WORTHINGTON BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7017
Practice Address - Country:US
Practice Address - Phone:410-897-8445
Practice Address - Fax:866-429-2689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REST ASSURED SLEEP CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-09
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2345332B00000X, 261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDY17549Medicare UPIN