Provider Demographics
NPI:1760034623
Name:HOSPITAL TO HOME MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:HOSPITAL TO HOME MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:SURFACE
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-424-7433
Mailing Address - Street 1:6474 DAHLONEGA HWY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:GA
Mailing Address - Zip Code:30527-1205
Mailing Address - Country:US
Mailing Address - Phone:770-851-0490
Mailing Address - Fax:
Practice Address - Street 1:162 LUMPKIN COUNTY PKWY STE 2
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-6683
Practice Address - Country:US
Practice Address - Phone:833-424-7433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport