Healthcare Provider Details
I. General information
NPI: 1588994610
Provider Name (Legal Business Name): HOVEROUND CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2010
Last Update Date: 07/03/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3352 LOUSMA DR SE STE 402
WYOMING MI
49548-2252
US
IV. Provider business mailing address
6015 31ST ST E STE 201
BRADENTON FL
34203-5317
US
V. Phone/Fax
- Phone: 941-782-6626
- Fax: 800-337-0424
- Phone: 941-739-6200
- Fax: 800-337-0424
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
J
FRERICHS
Title or Position: CEO
Credential:
Phone: 941-739-6200