Provider Demographics
NPI:1902075575
Name:JOERNS LLC
Entity Type:Organization
Organization Name:JOERNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. COUNSEL & CHIEF COMPLIANCE OFF.
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:JD/ESQ
Authorized Official - Phone:704-249-0663
Mailing Address - Street 1:2430 WHITEHALL PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3948
Mailing Address - Country:US
Mailing Address - Phone:704-249-0663
Mailing Address - Fax:800-232-9796
Practice Address - Street 1:19748 DEARBORN ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-6509
Practice Address - Country:US
Practice Address - Phone:800-966-6662
Practice Address - Fax:800-232-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6473080001Medicare NSC