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1073862231 NPI number — SUPREME HELPERS HEALTHCARE CORPORATION

NPI Number: 1073862231
Health Care Provider/Practitioner: SUPREME HELPERS HEALTHCARE CORPORATION

Information about “1073862231” NPI (SUPREME HELPERS HEALTHCARE CORPORATION) exists in 1073862231 in HTML format HTML  |  1073862231 in plain Text format TXT  |  1073862231 in PDF (Portable Document Format) PDF  |  1073862231 in an XML format XML  formats.

NPI Number : 1073862231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073862231",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUPREME HELPERS HEALTHCARE CORPORATION",
    "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": "1761 JAMESTOWN RD",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "WILLIAMSBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23185-2336",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-220-2190",
    "MailingAddressFaxNumber": "757-220-2191",
    "FirstLinePracticeLocationAddress": "1761 JAMESTOWN ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "WILLIAMSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23185-0000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-220-2190",
    "PracticeLocationAddressFaxNumber": "757-220-2191",
    "EnumerationDate": "09/04/2012",
    "LastUpdateDate": "10/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MADOJEMU",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": "O",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MIS, MS, PHD (C)",
    "AuthorizedOfficialTelephoneNumber": "757-220-2190",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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