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1144615832 NPI number — VELAS COMPASSION HOMECARE SVCS INC

NPI Number: 1144615832
Health Care Provider/Practitioner: VELAS COMPASSION HOMECARE SVCS INC

Information about “1144615832” NPI (VELAS COMPASSION HOMECARE SVCS INC) exists in 1144615832 in HTML format HTML  |  1144615832 in plain Text format TXT  |  1144615832 in PDF (Portable Document Format) PDF  |  1144615832 in an XML format XML  formats.

NPI Number : 1144615832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144615832",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "VELAS COMPASSION HOMECARE SVCS INC",
    "ParentOrgTIN": null,
    "OrgName": "VELAS COMPASSION HOMECARE SVCS INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "438 SW 10TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOYNTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33435-5928",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-900-6989",
    "MailingAddressFaxNumber": "561-336-4013",
    "FirstLinePracticeLocationAddress": "438 SW 10TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOYNTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33435-5928",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-806-9711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2015",
    "LastUpdateDate": "12/28/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MASSENAT",
    "AuthorizedOfficialFirstName": "VELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CASE MANAGER",
    "AuthorizedOfficialTelephoneNumber": "410-900-6989",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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