Provider Demographics
NPI:1730890187
Name:HOSPS CORP
Entity type:Organization
Organization Name:HOSPS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAZIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUSSAOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-648-5294
Mailing Address - Street 1:653 W 28TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2905
Mailing Address - Country:US
Mailing Address - Phone:773-648-5294
Mailing Address - Fax:
Practice Address - Street 1:653 W 28TH ST APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2905
Practice Address - Country:US
Practice Address - Phone:773-648-5294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle