NPI Code Detail JSON Logo

1134812423 NPI number — AMICARA HEALTH INC

NPI Number: 1134812423
Health Care Provider/Practitioner: AMICARA HEALTH INC

Information about “1134812423” NPI (AMICARA HEALTH INC) exists in 1134812423 in HTML format HTML  |  1134812423 in plain Text format TXT  |  1134812423 in PDF (Portable Document Format) PDF  |  1134812423 in an XML format XML  formats.

NPI Number : 1134812423 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134812423",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMICARA HEALTH 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": "1345 N JEFFERSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILWAUKEE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53202-2644",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-348-4822",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1017 W GLEN OAKS LN STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEQUON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53092-3375",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-348-4822",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2023",
    "LastUpdateDate": "06/01/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELLIS",
    "AuthorizedOfficialFirstName": "ADRIONNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF NURSING",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "414-348-4822",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251G00000X",
          "TaxonomyName": "Community Based Hospice Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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