Mesun Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MESUN HEALTH SERVICES, INC

Doing business as

MeSun Home Health Care Services

Practice address

88 Johnson Rd Building # 1-B
Lawrenceville, GA 30046

Phone

(770) 623-2710

Fax

(770) 623-2711

NPI assigned

Jun 10, 2020

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MESUN HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Eugene T Kim, M.DNPI 1538456843

Title

Ceo

Phone

(919) 599-8107

Specialties & licenses 1

Addresses

Other names 1

• MeSun Home Health Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285259846. Details of each certification follow.

• CCN 117338 Home health agency · Active · Details

Home health agency certification: CCN 117338

Legal name

MESUN HEALTH SERVICES INC

Doing business as

MESUN HOME HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 3, 2020

Last certification

Nov 3, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 21, 2005 in GA

Enrollment address

88 Johnson Rd
BLDG 1-B
Lawrenceville, GA 30046-5520

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mesun Health Services Inc

  dba Mesun Hospice

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1295793446

  9739190869

  Same PAC ID
• Mesun Health Services, Inc

  dba MeSun Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Lawrenceville, GA
  • NPI 1215550264

  9739190869

  Same PAC ID

Listed as

Mesun Home HealthCCN 117338 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Nov 3, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Mesun Health Services Inc2 organizations share this tax ID, including this one

Part of

Mesun Health Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mesun Health Services Inc

  dba Mesun Hospice

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1295793446
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Eugene T Kim, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Douglasville, GA
  • NPI 1538456843

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene T Kim, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Douglasville, GA
  • NPI 1538456843
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gurleen Kaur, M.D.

  • Primary Care Clinic/Center
  • Gainesville, GA
  • NPI 1447529441

  Home health agency

  Care Compare affiliation
• Jaeyoung Lee, MD

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1427499615

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1285259846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JOHNSON RD BUILDING # 1-B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "770-623-2710",
            "fax_number": "770-623-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JOHNSON RD BUILDING # 1-B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "770-623-2710",
            "fax_number": "770-623-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESUN HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MESUN HEALTH SERVICES, INC",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-599-8107",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MeSun Home Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MeSun Home Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Messan
• Francis Christian Messick, MD
• Jessica Messler, LPC
• Mesun Health Services Inc (Mesun Hospice)
• Mesun Health Services, Inc (MeSun Health & Rehabilitation Center)
• Gerilyn Ann Metoyer, MD
• Metro Behavioral Care LLC
• Metro Community Services
• Dion Short Metzger, M.D.
• Carolyn Ann Meyer

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.