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1104641406 NPI number — SPES RESIDENTIAL CARE L. L. C.

NPI Number: 1104641406
Health Care Provider/Practitioner: SPES RESIDENTIAL CARE L. L. C.

Information about “1104641406” NPI (SPES RESIDENTIAL CARE L. L. C.) exists in 1104641406 in HTML format HTML  |  1104641406 in plain Text format TXT  |  1104641406 in PDF (Portable Document Format) PDF  |  1104641406 in an XML format XML  formats.

NPI Number : 1104641406 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104641406",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPES RESIDENTIAL CARE L. L. C.",
    "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": "6704 PLEASANT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHFIELD",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55423-2351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-404-7208",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6336 WILRYAN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDINA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55439-1444",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-404-7208",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2024",
    "LastUpdateDate": "11/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAJIHUSSEIN",
    "AuthorizedOfficialFirstName": "SHARMAAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "612-481-7156",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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