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1235718206 NPI number — COMPANION CARE REGISTRY

NPI Number: 1235718206
Health Care Provider/Practitioner: COMPANION CARE REGISTRY

Information about “1235718206” NPI (COMPANION CARE REGISTRY) exists in 1235718206 in HTML format HTML  |  1235718206 in plain Text format TXT  |  1235718206 in PDF (Portable Document Format) PDF  |  1235718206 in an XML format XML  formats.

NPI Number : 1235718206 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235718206",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPANION CARE REGISTRY",
    "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": "20120 ROUTE 19 STE 205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRANBERRY TWP",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16066-6210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5741 SHIELDS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANFIELD",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44406-9814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-376-7636",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2021",
    "LastUpdateDate": "05/20/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROBINSON",
    "AuthorizedOfficialFirstName": "JACOB",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FINANCE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "330-853-9214",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "372600000X",
          "TaxonomyName": "Adult Companion",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health 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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