NPI Code Detail JSON Logo

1174070957 NPI number — 4 LINK CARES LLC

NPI Number: 1174070957
Health Care Provider/Practitioner: 4 LINK CARES LLC

Information about “1174070957” NPI (4 LINK CARES LLC) exists in 1174070957 in HTML format HTML  |  1174070957 in plain Text format TXT  |  1174070957 in PDF (Portable Document Format) PDF  |  1174070957 in an XML format XML  formats.

NPI Number : 1174070957 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174070957",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "4 LINK CARES LLC",
    "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": "14824 FLOUR MILL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLOTHIAN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23112-4255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-365-2926",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14824 FLOUR MILL CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDLOTHIAN",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23112-4255",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-365-2926",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/08/2016",
    "LastUpdateDate": "09/08/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FERGUSON",
    "AuthorizedOfficialFirstName": "GEZELLE",
    "AuthorizedOfficialMiddleName": "LENORE",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "804-365-2926",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "372600000X",
        "TaxonomyName": "Adult Companion",
        "LicenseNumber": "1335792",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.