Provider Demographics
NPI:1407325210
Name:BMN ENTERPRISE LLC
Entity Type:Organization
Organization Name:BMN ENTERPRISE LLC
Other - Org Name:ADVANCED HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BAO
Authorized Official - Middle Name:KHANG
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-688-8365
Mailing Address - Street 1:1891 LAUKAHI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1360
Mailing Address - Country:US
Mailing Address - Phone:808-688-8365
Mailing Address - Fax:808-626-3298
Practice Address - Street 1:98-1247 KAAHUMANU ST STE 322
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5301
Practice Address - Country:US
Practice Address - Phone:808-688-8365
Practice Address - Fax:808-626-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies