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1053610584 NPI number — MENORAH PARK CENTER FOR SENIOR LIVING BET MOSHAV ZEKENIM HADATI

NPI Number: 1053610584
Health Care Provider/Practitioner: MENORAH PARK CENTER FOR SENIOR LIVING BET MOSHAV ZEKENIM HADATI

Information about “1053610584” NPI (MENORAH PARK CENTER FOR SENIOR LIVING BET MOSHAV ZEKENIM HADATI) exists in 1053610584 in HTML format HTML  |  1053610584 in plain Text format TXT  |  1053610584 in PDF (Portable Document Format) PDF  |  1053610584 in an XML format XML  formats.

NPI Number : 1053610584 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053610584",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MENORAH PARK CENTER FOR SENIOR LIVING",
    "ParentOrgTIN": null,
    "OrgName": "MENORAH PARK CENTER FOR SENIOR LIVING BET MOSHAV ZEKENIM HADATI",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27100 CEDAR RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEACHWOOD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44122-1109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-831-6500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "27100 CEDAR RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEACHWOOD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44122-1109",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-831-6500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2011",
    "LastUpdateDate": "07/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MINNIE",
    "AuthorizedOfficialFirstName": "JULIANN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR REVENUE CYCLE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "216-831-6500",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "04167",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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