Provider Demographics
NPI:1851702583
Name:HOVEROUND CORPORATION
Entity Type:Organization
Organization Name:HOVEROUND CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-739-6200
Mailing Address - Street 1:6015 31ST ST E STE 201
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5317
Mailing Address - Country:US
Mailing Address - Phone:941-800-2437
Mailing Address - Fax:800-337-0424
Practice Address - Street 1:129 CLARK ST
Practice Address - Street 2:SUITE B
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1905
Practice Address - Country:US
Practice Address - Phone:205-621-1291
Practice Address - Fax:800-337-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0553540011Medicare NSC