Provider Demographics
NPI: | 1285812693 |
---|---|
Name: | HEARTS OF HOPE, LLC |
Entity type: | Organization |
Organization Name: | HEARTS OF HOPE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PARTNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MARGARET |
Authorized Official - Middle Name: | E |
Authorized Official - Last Name: | BISHOP |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 803-321-3056 |
Mailing Address - Street 1: | 1433 WILSON RD |
Mailing Address - Street 2: | |
Mailing Address - City: | NEWBERRY |
Mailing Address - State: | SC |
Mailing Address - Zip Code: | 29108-3049 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1433 WILSON RD |
Practice Address - Street 2: | |
Practice Address - City: | NEWBERRY |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29108-3049 |
Practice Address - Country: | US |
Practice Address - Phone: | 803-321-3056 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-02-07 |
Last Update Date: | 2008-06-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
SC | 335E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
SC | DE3119 | Medicaid | |
SC | 6088020001 | Medicare NSC |