NPI Code Detail JSON Logo

1194668855 NPI number — UPLIFT HOME HEALTH CARE LLC

NPI Number: 1194668855
Health Care Provider/Practitioner: UPLIFT HOME HEALTH CARE LLC

Information about “1194668855” NPI (UPLIFT HOME HEALTH CARE LLC) exists in 1194668855 in HTML format HTML  |  1194668855 in plain Text format TXT  |  1194668855 in PDF (Portable Document Format) PDF  |  1194668855 in an XML format XML  formats.

NPI Number : 1194668855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194668855",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "UPLIFT HOMECARE LLC",
    "ParentOrgTIN": null,
    "OrgName": "UPLIFT HOME HEALTH CARE 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": "110 W REYNOLDS ST STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANT CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33563-3377",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-370-7817",
    "MailingAddressFaxNumber": "813-370-7817",
    "FirstLinePracticeLocationAddress": "110 W REYNOLDS ST STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANT CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33563-3377",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-370-7817",
    "PracticeLocationAddressFaxNumber": "813-370-7817",
    "EnumerationDate": "04/09/2026",
    "LastUpdateDate": "04/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FREEMAN",
    "AuthorizedOfficialFirstName": "WADDIE",
    "AuthorizedOfficialMiddleName": "ALAN",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "813-370-7817",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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