Provider Demographics
NPI:1255751673
Name:RIBBON OF HOPE
Entity type:Organization
Organization Name:RIBBON OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MA
Authorized Official - Phone:912-466-7049
Mailing Address - Street 1:3025 SHRINE RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4784
Mailing Address - Country:US
Mailing Address - Phone:912-264-3939
Mailing Address - Fax:912-264-5868
Practice Address - Street 1:3025 SHRINE RD
Practice Address - Street 2:SUITE 170
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4784
Practice Address - Country:US
Practice Address - Phone:912-264-3939
Practice Address - Fax:912-264-5868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA7521380001Medicare PIN