Provider Demographics
NPI:1659100931
Name:SLEEPWELL DME
Entity type:Organization
Organization Name:SLEEPWELL DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-747-2237
Mailing Address - Street 1:7565 WINDGATE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3911
Mailing Address - Country:US
Mailing Address - Phone:586-747-2237
Mailing Address - Fax:
Practice Address - Street 1:36539 HARPER AVE STE B
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-2012
Practice Address - Country:US
Practice Address - Phone:586-747-2237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies