Provider Demographics
NPI:1932411014
Name:HANABI INC.
Entity Type:Organization
Organization Name:HANABI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SOERENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-542-5800
Mailing Address - Street 1:2422 N GRANDVIEW BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-6105
Mailing Address - Country:US
Mailing Address - Phone:262-542-5800
Mailing Address - Fax:252-542-5838
Practice Address - Street 1:2422 N GRANDVIEW BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-6105
Practice Address - Country:US
Practice Address - Phone:262-542-5800
Practice Address - Fax:262-542-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care