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1215619333 NPI number — ALZHEIMER'S RESPITE & RESOURCE

NPI Number: 1215619333
Health Care Provider/Practitioner: ALZHEIMER'S RESPITE & RESOURCE

Information about “1215619333” NPI (ALZHEIMER'S RESPITE & RESOURCE) exists in 1215619333 in HTML format HTML  |  1215619333 in plain Text format TXT  |  1215619333 in PDF (Portable Document Format) PDF  |  1215619333 in an XML format XML  formats.

NPI Number : 1215619333 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215619333",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALZHEIMER'S RESPITE & RESOURCE",
    "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": "117 WILLIAM HILTON PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILTON HEAD",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29926-5206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-842-6688",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "117 WILLIAM HILTON PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILTON HEAD",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29926-5206",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-842-6688",
    "PracticeLocationAddressFaxNumber": "843-681-5522",
    "EnumerationDate": "08/07/2023",
    "LastUpdateDate": "08/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARCIKOWSKI-HORNER",
    "AuthorizedOfficialFirstName": "JILL",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "843-842-6688",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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