MEDICARE: JH HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1306485990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JH HEALTH LLC

Provider Business Mailing Address
First Line	:	7211 AUSTIN STREET
Second Line	:	MB# 194
City	:	FOREST HILLS
State	:	NY
Zip	:	11375
Country	:	US
Telephone Number	:	917-563-8610
Fax Number	:	347-710-8806

Provider Business Practice Location Address
First Line	:	10714 71ST RD FL 1
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4719
Country	:	US
Telephone Number	:	917-563-8610
Fax Number	:	347-710-8806

Authorized Official
Title or Position	:	MANAGER
Name	:	HUI LI
Credential	:
Telephone Number	:	917-563-8610

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	12/30/2019

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