Haesin Park

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

752555 Issued in WA

Practice address

942 S 293Rd St
Federal Way, WA 98003-3711

Phone

(253) 347-8290

NPI assigned

Jul 9, 2025

Sex

Female

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

State licenses

Practice roles

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

• Emmanuel House Inc.

  • Adult Care Home Facility
  • Federal Way, WA
  • NPI 1457242117
  NPD Authorized official

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1760373732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 S 293RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033711",
            "telephone_number": "253-347-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 S 293RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033711",
            "telephone_number": "253-347-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HAESIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheong W Park
• Chung Caryn Park
• Chung Kyu Park, L.M.P.
• Daniel I Park, L.D
• Grace Miran Park, FNP
• Hyeun Park
• Hyun S. Park, D.D.S.
• Joonil Park, D.M.D.
• Kyung Joong Park, NMD
• Leah Park

• Adult Care Home Facility in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.