Provider Demographics
NPI:1124515531
Name:HANMI HOMEHEALTH
Entity type:Organization
Organization Name:HANMI HOMEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEISUNG
Authorized Official - Middle Name:JUHN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-303-0988
Mailing Address - Street 1:6214 OLD KEENE MILL CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2327
Mailing Address - Country:US
Mailing Address - Phone:703-303-0988
Mailing Address - Fax:703-569-0600
Practice Address - Street 1:6214 OLD KEENE MILL CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2327
Practice Address - Country:US
Practice Address - Phone:703-303-0988
Practice Address - Fax:703-569-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty