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1174109649 NPI number — AKRON OH CAREGIVING LLC

NPI Number: 1174109649
Health Care Provider/Practitioner: AKRON OH CAREGIVING LLC

Information about “1174109649” NPI (AKRON OH CAREGIVING LLC) exists in 1174109649 in HTML format HTML  |  1174109649 in plain Text format TXT  |  1174109649 in PDF (Portable Document Format) PDF  |  1174109649 in an XML format XML  formats.

NPI Number : 1174109649 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174109649",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CORNERSTONE CAREGIVING LLC",
    "ParentOrgTIN": null,
    "OrgName": "AKRON OH CAREGIVING 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": "209 S 28TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WACO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76710-7415",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "66 S MILLER RD STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRLAWN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44333-4178",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-284-7420",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2021",
    "LastUpdateDate": "12/21/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LAIN",
    "AuthorizedOfficialFirstName": "AVERY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP BUSINESS DEVELOPMENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "817-991-7836",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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