Provider Demographics
NPI:1932198546
Name:HHD CORPORATION
Entity Type:Organization
Organization Name:HHD CORPORATION
Other - Org Name:JOSEPHINE'S POST MASTECTOMY SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO
Authorized Official - Middle Name:P
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:513-745-9501
Mailing Address - Street 1:9514 KENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6181
Mailing Address - Country:US
Mailing Address - Phone:513-745-9501
Mailing Address - Fax:513-745-9473
Practice Address - Street 1:9514 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6181
Practice Address - Country:US
Practice Address - Phone:513-745-9501
Practice Address - Fax:513-745-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31226583335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
68250OtherAPB FORD
OH0781908Medicaid
8200161OtherUHC MEDICARE
80358OtherNORTHWOOD NPN
61101092004OtherMEDICAL MUTUAL
32150OtherANTHEM
61101092OtherHEALTH ALLIANCE
2115837OtherAETNA
=========OtherHUMANA
80358OtherNORTHWOOD NPN
80358OtherNORTHWOOD NPN