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1225275860 NPI number — SERENITY GARDENS RECUPERATION CENTER

NPI Number: 1225275860
Health Care Provider/Practitioner: SERENITY GARDENS RECUPERATION CENTER

Information about “1225275860” NPI (SERENITY GARDENS RECUPERATION CENTER) exists in 1225275860 in HTML format HTML  |  1225275860 in plain Text format TXT  |  1225275860 in PDF (Portable Document Format) PDF  |  1225275860 in an XML format XML  formats.

NPI Number : 1225275860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225275860",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SERENITY GARDENS RECUPERATION CENTER",
    "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": "207 RUTH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19709-9470",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-562-6336",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "207 RUTH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19709-9470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-562-6336",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/20/2009",
    "LastUpdateDate": "01/20/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LYNCH-JAMES",
    "AuthorizedOfficialFirstName": "HEATHER",
    "AuthorizedOfficialMiddleName": "ELAINE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "R.N.",
    "AuthorizedOfficialTelephoneNumber": "302-562-6336",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "1905",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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