Provider Demographics
NPI:1033502901
Name:HILL OF THE LORD MINISTRIES, INC
Entity Type:Organization
Organization Name:HILL OF THE LORD MINISTRIES, INC
Other - Org Name:HOLM MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANTWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-956-2508
Mailing Address - Street 1:7321 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2705
Mailing Address - Country:US
Mailing Address - Phone:916-956-2508
Mailing Address - Fax:
Practice Address - Street 1:7321 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2705
Practice Address - Country:US
Practice Address - Phone:916-956-2508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3577596343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)