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1255499174 NPI number — LILAC HOLDINGS, LLC

NPI Number: 1255499174
Health Care Provider/Practitioner: LILAC HOLDINGS, LLC

Information about “1255499174” NPI (LILAC HOLDINGS, LLC) exists in 1255499174 in HTML format HTML  |  1255499174 in plain Text format TXT  |  1255499174 in PDF (Portable Document Format) PDF  |  1255499174 in an XML format XML  formats.

NPI Number : 1255499174 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255499174",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LILAC HOLDINGS, 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": "262 N UNIVERSITY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMINGTON",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84025-2975",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "385-518-1814",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6061 BANBURY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92139-3624",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-475-2211",
    "PracticeLocationAddressFaxNumber": "619-479-5197",
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "08/06/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MITCHELL",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SECRETARY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "385-988-3319",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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