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1235763624 NPI number — GRAND COMPANIONS LLC

NPI Number: 1235763624
Health Care Provider/Practitioner: GRAND COMPANIONS LLC

Information about “1235763624” NPI (GRAND COMPANIONS LLC) exists in 1235763624 in HTML format HTML  |  1235763624 in plain Text format TXT  |  1235763624 in PDF (Portable Document Format) PDF  |  1235763624 in an XML format XML  formats.

NPI Number : 1235763624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235763624",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GRAND COMPANIONS 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": "724 BIELENBERG DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODBURY",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55125-2620",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-256-2214",
    "MailingAddressFaxNumber": "651-413-3000",
    "FirstLinePracticeLocationAddress": "2155 WOODLANE DR STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBURY",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55125-3049",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-256-2214",
    "PracticeLocationAddressFaxNumber": "651-829-2368",
    "EnumerationDate": "02/25/2020",
    "LastUpdateDate": "07/05/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARMON",
    "AuthorizedOfficialFirstName": "ALICIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "612-256-2214",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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