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1104840735 NPI number — RETIREMENT VILLAGE OF NORTH STRABANE FACILITY OPERATIONS, LLC

NPI Number: 1104840735
Health Care Provider/Practitioner: RETIREMENT VILLAGE OF NORTH STRABANE FACILITY OPERATIONS, LLC

Information about “1104840735” NPI (RETIREMENT VILLAGE OF NORTH STRABANE FACILITY OPERATIONS, LLC) exists in 1104840735 in HTML format HTML  |  1104840735 in plain Text format TXT  |  1104840735 in PDF (Portable Document Format) PDF  |  1104840735 in an XML format XML  formats.

NPI Number : 1104840735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104840735",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RETIREMENT VILLAGE OF NORTH STRABANE FACILITY OPERATIONS, 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": "800 CONCOURSE PKWY S",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "MAITLAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32751-6148",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-571-1550",
    "MailingAddressFaxNumber": "407-571-1599",
    "FirstLinePracticeLocationAddress": "200 TANDEM VILLAGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANONSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15317-6300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-746-0600",
    "PracticeLocationAddressFaxNumber": "724-743-1103",
    "EnumerationDate": "07/27/2006",
    "LastUpdateDate": "09/01/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CONTE",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "407-571-1550",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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