Provider Demographics
NPI:1023096104
Name:HOVEROUND CORPORATION
Entity type:Organization
Organization Name:HOVEROUND CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-739-6200
Mailing Address - Street 1:6015 31ST ST E STE 201
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5317
Mailing Address - Country:US
Mailing Address - Phone:941-739-6200
Mailing Address - Fax:800-337-0424
Practice Address - Street 1:6015 31ST ST E STE 201
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-5317
Practice Address - Country:US
Practice Address - Phone:941-739-6200
Practice Address - Fax:800-337-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0544007Medicaid
AR138807741Medicaid
MN680938300Medicaid
CO98004187Medicaid
GA00723049AMedicaid
AL009704830Medicaid
IN200132770AMedicaid
ID806733001Medicaid
KY90562299Medicaid
MD21490360Medicaid
DE0000770716Medicaid
CT004236627Medicaid
AZ343129Medicaid
FL950568700Medicaid
LA1688878Medicaid
DC0701510Medicaid
MI4084608Medicaid
AR138807741Medicaid
CO98004187Medicaid