NPI Code Detail JSON Logo

1194971333 NPI number — EXTENDED HOME LIVING SERVICES

NPI Number: 1194971333
Health Care Provider/Practitioner: EXTENDED HOME LIVING SERVICES

Information about “1194971333” NPI (EXTENDED HOME LIVING SERVICES) exists in 1194971333 in HTML format HTML  |  1194971333 in plain Text format TXT  |  1194971333 in PDF (Portable Document Format) PDF  |  1194971333 in an XML format XML  formats.

NPI Number : 1194971333 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194971333",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EXTENDED HOME LIVING SERVICES",
    "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": "555 N WOLF RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHEELING",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60090-3027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-215-9490",
    "MailingAddressFaxNumber": "847-215-9632",
    "FirstLinePracticeLocationAddress": "555 N WOLF RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHEELING",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60090-3027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-215-9490",
    "PracticeLocationAddressFaxNumber": "847-215-9632",
    "EnumerationDate": "08/07/2008",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BROWNE",
    "AuthorizedOfficialFirstName": "ALLAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "847-215-9490",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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