Provider Demographics
NPI:1619846599
Name:HANNAH MEDICAL GROUP LLC
Entity type:Organization
Organization Name:HANNAH MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:MEKEYA
Authorized Official - Middle Name:MAIRE
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:856-372-7905
Mailing Address - Street 1:1405 KAIGHN AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-2935
Mailing Address - Country:US
Mailing Address - Phone:856-372-7905
Mailing Address - Fax:
Practice Address - Street 1:1405 KAIGHN AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-2935
Practice Address - Country:US
Practice Address - Phone:856-372-7905
Practice Address - Fax:856-372-7905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANNAH MEDICAL GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care