Provider Demographics
NPI:1487659025
Name:EHOB, INC.
Entity Type:Organization
Organization Name:EHOB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-972-4600
Mailing Address - Street 1:250 N BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-4265
Mailing Address - Country:US
Mailing Address - Phone:317-972-4600
Mailing Address - Fax:317-972-4600
Practice Address - Street 1:250 N BELMONT AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-4265
Practice Address - Country:US
Practice Address - Phone:317-972-4600
Practice Address - Fax:317-972-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4841340002Medicare ID - Type UnspecifiedPROVIDER NUMBER