Provider Demographics
NPI:1639276462
Name:HOPE REHABILITATION EQUIPMENT CO INC
Entity Type:Organization
Organization Name:HOPE REHABILITATION EQUIPMENT CO INC
Other - Org Name:HOPE REHAB
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:GADEKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-488-4047
Mailing Address - Street 1:PO BOX 6172
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6172
Mailing Address - Country:US
Mailing Address - Phone:402-488-4047
Mailing Address - Fax:402-420-1966
Practice Address - Street 1:1919 S 40TH ST
Practice Address - Street 2:SUITE 222
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5243
Practice Address - Country:US
Practice Address - Phone:402-488-7459
Practice Address - Fax:402-420-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
4850840002Medicare NSC