Changmin An

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2011 Roxburg CT SE
Olympia, WA 98513-3428

Phone

(312) 848-0825

NPI assigned

Oct 25, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LFH Care LLC

  • Adult Care Home Facility
  • Olympia, WA
  • NPI 1508667098
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1245052836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROXBURG CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985133428",
            "telephone_number": "312-848-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROXBURG CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985133428",
            "telephone_number": "312-848-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15453 81st Ave NE",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "WA",
            "postal_code": "980284669",
            "country_code": "US",
            "telephone_number": "312-848-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8612 Campus Green Ct NE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985166239",
            "country_code": "US",
            "telephone_number": "312-848-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8637 Bedington Dr SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985133408",
            "country_code": "US",
            "telephone_number": "312-848-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Alpha St SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985033116",
            "country_code": "US",
            "telephone_number": "312-848-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AN",
        "first_name": "CHANGMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amn Healthcare Services Inc.
• Catherine Elizabeth Amos, LMHC
• Abigail Amundson, SUDPT
• Brooke M Amyx, LICSW, CDP
• Amber Rose An, DO
• Fredrick Sungjae An, DO
• Mike An
• Rachna Anand, DO
• Jessica Anastasio
• Keiron Anatu

• Home Health Aide in Olympia, WA
• Providers in Olympia, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.