Provider Demographics
NPI:1760242424
Name:JOERNS HEALTHCARE LLC
Entity Type:Organization
Organization Name:JOERNS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-249-0663
Mailing Address - Street 1:2430 WHITEHALL PARK DR STE 700
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3423
Mailing Address - Country:US
Mailing Address - Phone:704-249-0663
Mailing Address - Fax:
Practice Address - Street 1:2635 PARK CENTER DR STE C
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6243
Practice Address - Country:US
Practice Address - Phone:951-282-0362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies