NPI Code Detail JSON Logo

1164642393 NPI number — PRIVATE NURSING, INC.

NPI Number: 1164642393
Health Care Provider/Practitioner: PRIVATE NURSING, INC.

Information about “1164642393” NPI (PRIVATE NURSING, INC.) exists in 1164642393 in HTML format HTML  |  1164642393 in plain Text format TXT  |  1164642393 in PDF (Portable Document Format) PDF  |  1164642393 in an XML format XML  formats.

NPI Number : 1164642393 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164642393",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRIVATE NURSING, 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": "2405 E SOUTHERN AVE",
    "SecondLineMailingAddress": "SUITE 8-9",
    "MailingAddressCityName": "TEMPE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85282-7611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-755-8888",
    "MailingAddressFaxNumber": "480-730-9797",
    "FirstLinePracticeLocationAddress": "2405 E. SOUTHERN AVE.",
    "SecondLinePracticeLocationAddress": "SUITE 8-9",
    "PracticeLocationAddressCityName": "TEMPE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85282",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-755-8888",
    "PracticeLocationAddressFaxNumber": "480-730-9797",
    "EnumerationDate": "04/30/2007",
    "LastUpdateDate": "01/26/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRONER",
    "AuthorizedOfficialFirstName": "YISHAI",
    "AuthorizedOfficialMiddleName": "J.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "224-612-5672",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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