Provider Demographics
NPI:1992520191
Name:HUMANENESS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:HUMANENESS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSU
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-433-2023
Mailing Address - Street 1:12701 WOODMORE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3615 EDMOND WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1275
Practice Address - Country:US
Practice Address - Phone:301-433-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health