Provider Demographics
NPI:1013483528
Name:GOING HOME MEDICAL HOLDING INC.
Entity Type:Organization
Organization Name:GOING HOME MEDICAL HOLDING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-319-4338
Mailing Address - Street 1:861 SW 78TH AVE STE B200
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3273
Mailing Address - Country:US
Mailing Address - Phone:786-319-4338
Mailing Address - Fax:
Practice Address - Street 1:15830 FOLTZ PKWY
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-4745
Practice Address - Country:US
Practice Address - Phone:877-626-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No251B00000XAgenciesCase Management
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No333300000XSuppliersEmergency Response System Companies
No347E00000XTransportation ServicesTransportation Broker