NPI Code Detail JSON Logo

1073217014 NPI number — BRIGHTER DAYS ADULT DAY CARE LLC

NPI Number: 1073217014
Health Care Provider/Practitioner: BRIGHTER DAYS ADULT DAY CARE LLC

Information about “1073217014” NPI (BRIGHTER DAYS ADULT DAY CARE LLC) exists in 1073217014 in HTML format HTML  |  1073217014 in plain Text format TXT  |  1073217014 in PDF (Portable Document Format) PDF  |  1073217014 in an XML format XML  formats.

NPI Number : 1073217014 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073217014",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRIGHTER DAYS ADULT DAY CARE 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": "107 VICTORIA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39056-4031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "309 AIRPORT RD S STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEARL",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39208-6678",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "769-234-0770",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2023",
    "LastUpdateDate": "03/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WOODSON",
    "AuthorizedOfficialFirstName": "KEVIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "REGISTERED NURSE",
    "AuthorizedOfficialTelephoneNumber": "769-234-0770",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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