NPI Code Detail JSON Logo

1245416577 NPI number — CENTER FOR GLOBAL HEALTH & HUMANITY SERVICES

NPI Number: 1245416577
Health Care Provider/Practitioner: CENTER FOR GLOBAL HEALTH & HUMANITY SERVICES

Information about “1245416577” NPI (CENTER FOR GLOBAL HEALTH & HUMANITY SERVICES) exists in 1245416577 in HTML format HTML  |  1245416577 in plain Text format TXT  |  1245416577 in PDF (Portable Document Format) PDF  |  1245416577 in an XML format XML  formats.

NPI Number : 1245416577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245416577",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTER FOR GLOBAL HEALTH & HUMANITY SERVICES",
    "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": "1721 SW GLORIA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORT ST LUCIE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34953-1554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-446-0389",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1721 SW GLORIA LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT ST LUCIE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34953-1554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-446-0389",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/16/2008",
    "LastUpdateDate": "01/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "UKPONG",
    "AuthorizedOfficialFirstName": "DANIEL",
    "AuthorizedOfficialMiddleName": "MICHAEL",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPH",
    "AuthorizedOfficialTelephoneNumber": "772-446-0389",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133NN1002X",
          "TaxonomyName": "Nutrition Education Nutritionist",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "302F00000X",
          "TaxonomyName": "Exclusive Provider Organization",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": "N05000007078",
          "LicenseNumberStateCode": "FL",
          "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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