Healthcare Provider Details

I. General information

NPI: 1760034623
Provider Name (Legal Business Name): HOSPITAL TO HOME MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 LUMPKIN COUNTY PKWY STE 2
DAHLONEGA GA
30533-6683
US

IV. Provider business mailing address

6474 DAHLONEGA HWY
CLERMONT GA
30527-1205
US

V. Phone/Fax

Practice location:
  • Phone: 833-424-7433
  • Fax:
Mailing address:
  • Phone: 770-851-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MELINDA SURFACE HARRINGTON
Title or Position: MANAGING OWNER
Credential:
Phone: 833-424-7433