NPI Code Detail JSON Logo

1255582300 NPI number — REVOLUTION CARE, INC.

NPI Number: 1255582300
Health Care Provider/Practitioner: REVOLUTION CARE, INC.

Information about “1255582300” NPI (REVOLUTION CARE, INC.) exists in 1255582300 in HTML format HTML  |  1255582300 in plain Text format TXT  |  1255582300 in PDF (Portable Document Format) PDF  |  1255582300 in an XML format XML  formats.

NPI Number : 1255582300 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255582300",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REVOLUTION CARE, INC.",
    "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": "105 THATCHER CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH WALES",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19454-1226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-557-6980",
    "MailingAddressFaxNumber": "215-997-6771",
    "FirstLinePracticeLocationAddress": "105 THATCHER CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH WALES",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19454-1226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-557-6980",
    "PracticeLocationAddressFaxNumber": "215-997-6771",
    "EnumerationDate": "10/07/2008",
    "LastUpdateDate": "12/17/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHITMAN",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": "JOSEPH",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "484-557-6980",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LG0600X",
        "TaxonomyName": "Gerontology Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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