Provider Demographics
NPI:1710557798
Name:HEMMEN ENTERPRISES LLC
Entity Type:Organization
Organization Name:HEMMEN ENTERPRISES LLC
Other - Org Name:THRIVE ORTHOTICS AND PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMMEN
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:386-281-3202
Mailing Address - Street 1:420 S NOVA RD STE 6
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-0411
Mailing Address - Country:US
Mailing Address - Phone:386-281-3202
Mailing Address - Fax:386-281-3479
Practice Address - Street 1:420 S NOVA RD STE 6
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-0411
Practice Address - Country:US
Practice Address - Phone:386-281-3202
Practice Address - Fax:386-281-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier