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1205031507 NPI number — PARK SPRINGS, LLC

NPI Number: 1205031507
Health Care Provider/Practitioner: PARK SPRINGS, LLC

Information about “1205031507” NPI (PARK SPRINGS, LLC) exists in 1205031507 in HTML format HTML  |  1205031507 in plain Text format TXT  |  1205031507 in PDF (Portable Document Format) PDF  |  1205031507 in an XML format XML  formats.

NPI Number : 1205031507 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205031507",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PARK SPRINGS, 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": "500 SPRINGHOUSE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STONE MOUNTAIN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30087-6718",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-684-3036",
    "MailingAddressFaxNumber": "770-879-7330",
    "FirstLinePracticeLocationAddress": "500 SPRINGHOUSE CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STONE MOUNTAIN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30087-6718",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-684-3036",
    "PracticeLocationAddressFaxNumber": "770-879-7330",
    "EnumerationDate": "06/18/2007",
    "LastUpdateDate": "04/30/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ISAKSON",
    "AuthorizedOfficialFirstName": "KEVIN",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-932-6552",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "044-R-0177",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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