Provider Demographics
NPI:1639476468
Name:BETTER LIVING VISITING PHYSICIANS, P.L.L.C.
Entity Type:Organization
Organization Name:BETTER LIVING VISITING PHYSICIANS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HONGJAE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-685-2635
Mailing Address - Street 1:5587 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-6616
Mailing Address - Country:US
Mailing Address - Phone:828-685-2635
Mailing Address - Fax:888-579-1726
Practice Address - Street 1:5587 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-6616
Practice Address - Country:US
Practice Address - Phone:828-685-2635
Practice Address - Fax:888-579-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC171270207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5917995Medicaid
2076092Medicare PIN