Provider Demographics
NPI:1548159049
Name:HUBBARD NORTH AMERICA INC
Entity type:Organization
Organization Name:HUBBARD NORTH AMERICA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DESHYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-594-2229
Mailing Address - Street 1:12113 CICERO DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1571
Mailing Address - Country:US
Mailing Address - Phone:612-594-2229
Mailing Address - Fax:
Practice Address - Street 1:215 PERRY AVE
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2535
Practice Address - Country:US
Practice Address - Phone:334-673-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health