Healthcare Provider Details

I. General information

NPI: 1982223350
Provider Name (Legal Business Name): JH MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 MCCORMICK DR STE B
GLEN BURNIE MD
21061-8200
US

IV. Provider business mailing address

530 MCCORMICK DR STE B
GLEN BURNIE MD
21061-8200
US

V. Phone/Fax

Practice location:
  • Phone: 410-973-7115
  • Fax: 240-290-1293
Mailing address:
  • Phone: 410-973-7115
  • Fax: 240-290-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: SANG HOON HAN
Title or Position: DIRECTOR
Credential:
Phone: 410-973-7115