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NPI Code Detail

MEDICARE: HP HOPEWELL INC

MEDICARE: HP HOPEWELL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNCF-745SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003848870
Entity Type Code : Organization
Provider Name (Legal Business Name) : HP HOPEWELL INC
Provider Business Mailing Address
First Line : 925 N POINT PKWY
Second Line : SUITE 440
City : ALPHARETTA
State : GA
Zip : 30005-5210
Country : US
Telephone Number : 770-619-0866
Fax Number : 770-870-2892
Provider Business Practice Location Address
First Line : 1761 PINEWOOD RD
Second Line :
City : SUMTER
State : SC
Zip : 29154-9056
Country : US
Telephone Number : 803-481-8591
Fax Number : 803-481-8736
Authorized Official
Title or Position : PRESIDENT
Name : DOUGLAS K MITTLEIDER
Credential :
Telephone Number : 770-619-0866
Provider Enumeration Date : 07/06/2006
Last Update Date : 06/16/2009

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