MEDICARE: THE HAMMOND GROUP 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	251E00000X	Home Health Agency	1841410297	DE
2	251E00000X	Home Health Agency	HPO123600	NJ
3	251S00000X	Community/Behavioral Health Agency	1841410297	DE
4	103TP2701X	Group Psychotherapy Psychologist	1841410297	DE
5	302R00000X	Health Maintenance Organization
6	315D00000X	Inpatient Hospice
7	385HR2055X	Child Mental Illness Respite Care
8	385HR2065X	Child Physical Disabilities Respite Care
9	3140N1450X	Pediatric Skilled Nursing Facility
10	101YA0400X	Addiction (Substance Use Disorder) Counselor
11	101Y00000X	Counselor	0089575	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1841410297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HAMMOND GROUP INC.

Provider Business Mailing Address
First Line	:	200 FEDERAL STREET
Second Line	:	SUITE 227
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1015
Country	:	US
Telephone Number	:	866-984-2665
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 FEDERAL ST
Second Line	:	SUITE 227
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1061
Country	:	US
Telephone Number	:	866-984-2665
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. GREGORY K. HAMMOND
Credential	:
Telephone Number	:	267-242-3443

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	12/14/2009

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