MEDICARE: NEW HOPE HOME MEDICAL, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1508850728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE HOME MEDICAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 826
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-0826
Country	:	US
Telephone Number	:	912-826-5566
Fax Number	:	912-826-6124

Provider Business Practice Location Address
First Line	:	171 COMMERCIAL DR
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5469
Country	:	US
Telephone Number	:	912-826-5566
Fax Number	:	912-826-6124

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD BENJAMIN WALL
Credential	:
Telephone Number	:	912-826-5566

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	08/22/2020

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1174679872 — NEW HOPE HOME MEDICAL
Practice Location Address:

171 COMMERCIAL DR
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31326-5469

Practice Phone: 912-826-5566
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1043359151 — DR. DAVID LAWRENCE AVARD D.C.
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1740282003 — DON R CONNELL M.D.
Practice Location Address:

112 LAKE TOMACHEECHEE DR
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Practice Location Address:

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Directions to “NEW HOPE HOME MEDICAL, INC ” Practice Location

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