NPI Code Detail JSON Logo

1164230702 NPI number — HOME LIKE HEAVEN

NPI Number: 1164230702
Health Care Provider/Practitioner: HOME LIKE HEAVEN

Information about “1164230702” NPI (HOME LIKE HEAVEN) exists in 1164230702 in HTML format HTML  |  1164230702 in plain Text format TXT  |  1164230702 in PDF (Portable Document Format) PDF  |  1164230702 in an XML format XML  formats.

NPI Number : 1164230702 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164230702",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOME LIKE HEAVEN",
    "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": "6065 HILLCROFT ST STE 610",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77081-1103",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-979-7966",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1702 IVIE LEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAYTOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77520-3623",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-979-7966",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/30/2024",
    "LastUpdateDate": "12/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHUKWUEWUBE",
    "AuthorizedOfficialFirstName": "FREEMAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "516-708-5576",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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