Healthcare Provider Details

I. General information

NPI: 1497312532
Provider Name (Legal Business Name): HOPE ON WHEELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 12TH STREET 882 12TH STREET D5
HAMMONTON NJ
08037
US

IV. Provider business mailing address

PO BOX 1015
HAMMONTON NJ
08037
US

V. Phone/Fax

Practice location:
  • Phone: 856-729-7519
  • Fax:
Mailing address:
  • Phone: 856-729-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: EVA MCCALLIN
Title or Position: CEO
Credential:
Phone: 856-729-7519