NPI Code Detail JSON Logo

1053121392 NPI number — MCPHERSON CARE & GIFTED LLC

NPI Number: 1053121392
Health Care Provider/Practitioner: MCPHERSON CARE & GIFTED LLC

Information about “1053121392” NPI (MCPHERSON CARE & GIFTED LLC) exists in 1053121392 in HTML format HTML  |  1053121392 in plain Text format TXT  |  1053121392 in PDF (Portable Document Format) PDF  |  1053121392 in an XML format XML  formats.

NPI Number : 1053121392 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053121392",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MCPHERSON CARE & GIFTED 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": "2076 GREY FOX LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23456-5206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-405-2648",
    "MailingAddressFaxNumber": "757-997-6550",
    "FirstLinePracticeLocationAddress": "3386 HOLLAND RD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VIRGINIA BEACH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23452-4818",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-405-2648",
    "PracticeLocationAddressFaxNumber": "757-997-6550",
    "EnumerationDate": "01/09/2025",
    "LastUpdateDate": "01/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAJETTE",
    "AuthorizedOfficialFirstName": "TAMEIKA",
    "AuthorizedOfficialMiddleName": "JHEANELL",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, MSN",
    "AuthorizedOfficialTelephoneNumber": "757-405-2648",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.