NPI Code Detail JSON Logo

1003705633 NPI number — PONDEROSA HOME HEALTH CARE INC.

NPI Number: 1003705633
Health Care Provider/Practitioner: PONDEROSA HOME HEALTH CARE INC.

Information about “1003705633” NPI (PONDEROSA HOME HEALTH CARE INC.) exists in 1003705633 in HTML format HTML  |  1003705633 in plain Text format TXT  |  1003705633 in PDF (Portable Document Format) PDF  |  1003705633 in an XML format XML  formats.

NPI Number : 1003705633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003705633",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PONDEROSA HOME HEALTH CARE INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3449 SANDY POINT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINSALE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22488-2535",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-472-7525",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3449 SANDY POINT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KINSALE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22488-2535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-472-7525",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/30/2025",
    "LastUpdateDate": "07/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BALL",
    "AuthorizedOfficialFirstName": "TINIKA",
    "AuthorizedOfficialMiddleName": "ANDAWANDA",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "804-472-7525",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "372500000X",
          "TaxonomyName": "Chore Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3747A0650X",
          "TaxonomyName": "Attendant Care Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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