MEDICARE: HOPE EXPRESS TRANSPORTATION

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1205551744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE EXPRESS TRANSPORTATION

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 204
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 204
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:	614-604-8573
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLCIA THOMAS-AGEE
Credential	:
Telephone Number	:	614-266-1079

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	10/06/2022

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Directions to “HOPE EXPRESS TRANSPORTATION ” Practice Location

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