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1144638776 NPI number — TICKNOR ENTERPRISES HICO ALF, LLC

NPI Number: 1144638776
Health Care Provider/Practitioner: TICKNOR ENTERPRISES HICO ALF, LLC

Information about “1144638776” NPI (TICKNOR ENTERPRISES HICO ALF, LLC) exists in 1144638776 in HTML format HTML  |  1144638776 in plain Text format TXT  |  1144638776 in PDF (Portable Document Format) PDF  |  1144638776 in an XML format XML  formats.

NPI Number : 1144638776 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144638776",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TICKNOR ENTERPRISES HICO ALF, LLC",
    "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": "100 S. WALNUT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HICO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76457-0000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-796-2582",
    "MailingAddressFaxNumber": "254-796-2151",
    "FirstLinePracticeLocationAddress": "100 S. WALNUT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HICO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76457-0000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-796-2582",
    "PracticeLocationAddressFaxNumber": "254-796-2151",
    "EnumerationDate": "07/28/2014",
    "LastUpdateDate": "07/28/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TICKNOR",
    "AuthorizedOfficialFirstName": "GREG",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "817-269-3375",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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