Provider Demographics
NPI:1730243791
Name:SLEEP MANAGEMENT LLC
Entity type:Organization
Organization Name:SLEEP MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:VONSICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-479-1073
Mailing Address - Street 1:6100 DUTCHMANS LN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3284
Mailing Address - Country:US
Mailing Address - Phone:502-479-1073
Mailing Address - Fax:502-479-1074
Practice Address - Street 1:6100 DUTCHMANS LN
Practice Address - Street 2:SUITE 302
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3284
Practice Address - Country:US
Practice Address - Phone:502-479-1073
Practice Address - Fax:502-479-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50016573OtherPASSPORT
KY000000502891OtherANTHEM
KY50016573OtherPASSPORT