Provider Demographics
NPI:1922121771
Name:HORNBECK HOME RENOVATIONS INC
Entity Type:Organization
Organization Name:HORNBECK HOME RENOVATIONS INC
Other - Org Name:HORNBECK HOME RENOVATIONS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:HORNBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-637-8087
Mailing Address - Street 1:5105 WARNER RD
Mailing Address - Street 2:
Mailing Address - City:KINSMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44428-9747
Mailing Address - Country:US
Mailing Address - Phone:330-637-8087
Mailing Address - Fax:330-637-8087
Practice Address - Street 1:5105 WARNER RD
Practice Address - Street 2:
Practice Address - City:KINSMAN
Practice Address - State:OH
Practice Address - Zip Code:44428-9747
Practice Address - Country:US
Practice Address - Phone:330-637-8087
Practice Address - Fax:330-637-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty