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1043756828 NPI number — STEFANIES VILLAGE INC

NPI Number: 1043756828
Health Care Provider/Practitioner: STEFANIES VILLAGE INC

Information about “1043756828” NPI (STEFANIES VILLAGE INC) exists in 1043756828 in HTML format HTML  |  1043756828 in plain Text format TXT  |  1043756828 in PDF (Portable Document Format) PDF  |  1043756828 in an XML format XML  formats.

NPI Number : 1043756828 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043756828",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STEFANIES VILLAGE 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": "240 MAGNOLIA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80220-6010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-763-5679",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "240 MAGNOLIA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80220-6010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-763-5679",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2017",
    "LastUpdateDate": "01/17/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MULLIN",
    "AuthorizedOfficialFirstName": "CAROL-ANN",
    "AuthorizedOfficialMiddleName": "DEMAIO",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "303-763-5679",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320900000X",
        "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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