# CLEVELAND HEALTH VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND HEALTH VENTURES LLC
- **Other names:** Carolinas Sleep Services-Cleveland
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760760052
- **Legal business name:** CLEVELAND HEALTH VENTURES LLC
- **Authorized official:** MR. DANIEL J. WIENS (VICE-PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (704) 667-0410

## Contact information

- **Practice address:** 825 E. KING STREET, KINGS MOUNTAIN, NC 28086-3186
- **Practice address phone:** (704) 650-6551
- **Practice address fax:** (704) 512-4808
- **Mailing address:** PO BOX 601884, CHARLOTTE, NC 28260-1884
- **Mailing address phone:** (704) 650-6551
- **Mailing address fax:** (704) 512-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 07/05/2013
