Provider Demographics
NPI:1275073132
Name:IMMEDIATE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:IMMEDIATE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KYONGMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-657-2228
Mailing Address - Street 1:7483 CANDLEWOOD RD STE B
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3142
Mailing Address - Country:US
Mailing Address - Phone:410-657-2228
Mailing Address - Fax:410-630-5543
Practice Address - Street 1:7483 CANDLEWOOD RD STE B
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3142
Practice Address - Country:US
Practice Address - Phone:410-657-2228
Practice Address - Fax:410-630-5543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health