MEDICARE: HOPE OF COLUMBUS, 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	310400000X	Assisted Living Facility

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

General Provider Information

NPI Number	:	1871931923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE OF COLUMBUS, INC.

Provider Business Mailing Address
First Line	:	1315 DELAUNEY AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2367
Country	:	US
Telephone Number	:	706-888-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 30TH AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31903-1734
Country	:	US
Telephone Number	:	706-888-7880
Fax Number	:	706-689-7943

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	PATRICIA ANN PATRICK
Credential	:
Telephone Number	:	706-888-7880

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	06/11/2013

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Directions to “HOPE OF COLUMBUS, INC. ” Practice Location

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