Provider Demographics
NPI:1356771737
Name:RIBBONS OF HOPE SHOPPE
Entity type:Organization
Organization Name:RIBBONS OF HOPE SHOPPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:219-230-7144
Mailing Address - Street 1:932 MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-1334
Mailing Address - Country:US
Mailing Address - Phone:219-230-7144
Mailing Address - Fax:
Practice Address - Street 1:932 MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1334
Practice Address - Country:US
Practice Address - Phone:219-230-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECFM02371332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies