NPIMap

Organization Active NPI

Korean Resource Center

  • Durable Medical Equipment & Medical Supplies
  • Ellicott City, MD
National Provider Identifier
1639438617
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
R134384 Issued in MD
Legal business name
KOREAN RESOURCE CENTER
Doing business as
Korean Home Care
Practice address
10176 Baltimore National Pike
Ste 117
Ellicott City, MD 21042-3650
Phone
(410) 818-0900
Fax
(410) 203-2685
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Kim Byeng Kim, PH.D
Title
Ceo/Presient
Phone
(410) 818-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X R134384 MD Primary

Addresses

Primary practice location

10176 Baltimore National Pike
Ste 117
Ellicott City, MD 21042-3650

Mailing address

3239A Corporate CT
Ellicott City, MD 21042-2247
Phone (410) 818-0900

Other names 1

  • Korean Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Korean Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10176 Baltimore National Pike
Ste 117
Ellicott City, MD 21042
Phone (410) 818-0900

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1639438617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239A CORPORATE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "410-818-0900",
            "fax_number": "410-203-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 BALTIMORE NATIONAL PIKE",
            "address_2": "STE 117",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423650",
            "telephone_number": "410-818-0900",
            "fax_number": "410-203-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "BYENG",
        "authorized_official_title_or_position": "CEO/PRESIENT",
        "authorized_official_telephone_number": "410-818-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R134384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korean Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.