NPI Code Detail JSON Logo

1053125468 NPI number — MOBILE FAMILY RESOURCES INC

NPI Number: 1053125468
Health Care Provider/Practitioner: MOBILE FAMILY RESOURCES INC

Information about “1053125468” NPI (MOBILE FAMILY RESOURCES INC) exists in 1053125468 in HTML format HTML  |  1053125468 in plain Text format TXT  |  1053125468 in PDF (Portable Document Format) PDF  |  1053125468 in an XML format XML  formats.

NPI Number : 1053125468 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053125468",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOBILE FAMILY RESOURCES 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": "1283 W MC KINLEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNNYVALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94086-1304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-294-4119",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1283 W MC KINLEY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUNNYVALE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94086-1304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-294-4119",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2025",
    "LastUpdateDate": "01/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BLAKE",
    "AuthorizedOfficialFirstName": "TIERRA",
    "AuthorizedOfficialMiddleName": "ROSE",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "318-294-4119",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374J00000X",
          "TaxonomyName": "Doula",
          "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."
        }
      ]
    }
  }
}
                
            

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