Provider Demographics
NPI:1104350339
Name:HMSB GROUP OF COMPANIES
Entity type:Organization
Organization Name:HMSB GROUP OF COMPANIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAIMA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:614-446-0502
Mailing Address - Street 1:4510 DUNDEE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-2416
Mailing Address - Country:US
Mailing Address - Phone:614-446-0502
Mailing Address - Fax:
Practice Address - Street 1:4510 DUNDEE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-2416
Practice Address - Country:US
Practice Address - Phone:614-446-0502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HMSB GROUP OF COMPANIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services