Provider Demographics
NPI:1508344763
Name:VOYAGE OF HOPE, LLC
Entity Type:Organization
Organization Name:VOYAGE OF HOPE, LLC
Other - Org Name:VOYAGE OF HOPE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:SHINHOLSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-234-0301
Mailing Address - Street 1:341 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-3534
Mailing Address - Country:US
Mailing Address - Phone:478-457-0068
Mailing Address - Fax:478-457-0063
Practice Address - Street 1:341 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-3534
Practice Address - Country:US
Practice Address - Phone:478-457-0068
Practice Address - Fax:478-457-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)