Provider Demographics
NPI:1568244044
Name:HUMANENESS HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:HUMANENESS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNP
Authorized Official - Prefix:
Authorized Official - First Name:MUSU
Authorized Official - Middle Name:N
Authorized Official - Last Name:KOMEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
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:301-433-2023
Mailing Address - Fax:
Practice Address - Street 1:12701 WOODMORE RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-4121
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:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty