NPI Code Detail JSON Logo

1013543867 NPI number — EMPOWER INCLUSION LLC

NPI Number: 1013543867
Health Care Provider/Practitioner: EMPOWER INCLUSION LLC

Information about “1013543867” NPI (EMPOWER INCLUSION LLC) exists in 1013543867 in HTML format HTML  |  1013543867 in plain Text format TXT  |  1013543867 in PDF (Portable Document Format) PDF  |  1013543867 in an XML format XML  formats.

NPI Number : 1013543867 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013543867",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMPOWER INCLUSION LLC",
    "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": "PO BOX 181",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EXCELSIOR",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55331-0181",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-373-1053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1098 PRAIRIE VIEW LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WACONIA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55387-4001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-373-1053",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/12/2020",
    "LastUpdateDate": "11/19/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLADOYIN",
    "AuthorizedOfficialFirstName": "ALEXANDRA",
    "AuthorizedOfficialMiddleName": "RAE",
    "AuthorizedOfficialTitle": "DIR. INCLUSIVE EMPLOYMENT/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "952-373-1053",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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