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1184619736 NPI number — HUMANGOOD PENNSYLVANIA

NPI Number: 1184619736
Health Care Provider/Practitioner: HUMANGOOD PENNSYLVANIA

Information about “1184619736” NPI (HUMANGOOD PENNSYLVANIA) exists in 1184619736 in HTML format HTML  |  1184619736 in plain Text format TXT  |  1184619736 in PDF (Portable Document Format) PDF  |  1184619736 in an XML format XML  formats.

NPI Number : 1184619736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184619736",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HUMANGOOD PENNSYLVANIA",
    "ParentOrgTIN": null,
    "OrgName": "HUMANGOOD PENNSYLVANIA",
    "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": "2000 JOSHUA ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAFAYETTE HILL",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19444-2430",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-828-4848",
    "MailingAddressFaxNumber": "610-834-6556",
    "FirstLinePracticeLocationAddress": "1515 THE FAIRWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JENKINTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19046-1435",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-885-6800",
    "PracticeLocationAddressFaxNumber": "215-885-4560",
    "EnumerationDate": "09/20/2005",
    "LastUpdateDate": "06/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VANGELISTO",
    "AuthorizedOfficialFirstName": "GWEN",
    "AuthorizedOfficialMiddleName": "ELLEN",
    "AuthorizedOfficialTitle": "DIRECTOR OF ACCOUNTS RECEIVABLE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "949-463-0893",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": "182102",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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