NPI Code Detail JSON Logo

1104735471 NPI number — HOME CARE NURSES AMERICA INC

NPI Number: 1104735471
Health Care Provider/Practitioner: HOME CARE NURSES AMERICA INC

Information about “1104735471” NPI (HOME CARE NURSES AMERICA INC) exists in 1104735471 in HTML format HTML  |  1104735471 in plain Text format TXT  |  1104735471 in PDF (Portable Document Format) PDF  |  1104735471 in an XML format XML  formats.

NPI Number : 1104735471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104735471",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOME CARE NURSES AMERICA 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": "941 WOODCLIFF DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YOUNGSTOWN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14174-1168",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-551-6055",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4800 N SCOTTSDALE RD STE 4500B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85251-7630",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-551-6055",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2026",
    "LastUpdateDate": "09/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FAULKNER",
    "AuthorizedOfficialFirstName": "BUSISIWE",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "857-427-2496",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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