MEDICARE: JH MEDICAL SUPPLY, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1982223350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JH MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	530 MCCORMICK DR STE B
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-8200
Country	:	US
Telephone Number	:	410-973-7115
Fax Number	:	240-290-1293

Provider Business Practice Location Address
First Line	:	530 MCCORMICK DR STE B
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-8200
Country	:	US
Telephone Number	:	410-973-7115
Fax Number	:	240-290-1293

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SANG HOON HAN
Credential	:
Telephone Number	:	410-973-7115

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	06/08/2026

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