NPI Code Detail JSON Logo

1205541026 NPI number — XPRESS HOMECARE AND HEALTH SERVICES LLC

NPI Number: 1205541026
Health Care Provider/Practitioner: XPRESS HOMECARE AND HEALTH SERVICES LLC

Information about “1205541026” NPI (XPRESS HOMECARE AND HEALTH SERVICES LLC) exists in 1205541026 in HTML format HTML  |  1205541026 in plain Text format TXT  |  1205541026 in PDF (Portable Document Format) PDF  |  1205541026 in an XML format XML  formats.

NPI Number : 1205541026 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205541026",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "XPRESS HOMECARE AND HEALTH SERVICES 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": "25101 N LAKELAND BLVD UNIT 23223",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUCLID",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44123-9525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "25701 N LAKELAND BLVD STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUCLID",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44132-2436",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-303-0966",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/16/2023",
    "LastUpdateDate": "01/16/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEWIS",
    "AuthorizedOfficialFirstName": "ANEESAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPN",
    "AuthorizedOfficialTelephoneNumber": "216-303-0966",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164W00000X",
          "TaxonomyName": "Licensed Practical Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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