Provider Demographics
NPI:1265413983
Name:HOPE HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:HOPE HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-502-0919
Mailing Address - Street 1:PO BOX 13695
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-3641
Mailing Address - Country:US
Mailing Address - Phone:205-502-0919
Mailing Address - Fax:205-380-6425
Practice Address - Street 1:1100 E PARK DR
Practice Address - Street 2:SUITE 106
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2500
Practice Address - Country:US
Practice Address - Phone:205-502-0919
Practice Address - Fax:205-380-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL626332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527661OtherBLUE CROSS BLUE SHIELD
AL51527661OtherBLUE CROSS BLUE SHIELD