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1275711988 NPI number — SUGAR LAND ASSISTED LIVING LLC

NPI Number: 1275711988
Health Care Provider/Practitioner: SUGAR LAND ASSISTED LIVING LLC

Information about “1275711988” NPI (SUGAR LAND ASSISTED LIVING LLC) exists in 1275711988 in HTML format HTML  |  1275711988 in plain Text format TXT  |  1275711988 in PDF (Portable Document Format) PDF  |  1275711988 in an XML format XML  formats.

NPI Number : 1275711988 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275711988",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUGAR LAND ASSISTED LIVING 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": "3060 EDGEWATER DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUGARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77478",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-313-2500",
    "MailingAddressFaxNumber": "281-313-2505",
    "FirstLinePracticeLocationAddress": "3060 EDGEWATER DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUGARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77478",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-313-2500",
    "PracticeLocationAddressFaxNumber": "281-313-2505",
    "EnumerationDate": "02/05/2008",
    "LastUpdateDate": "07/24/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RELTON",
    "AuthorizedOfficialFirstName": "JANE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "281-313-2500",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "123822",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": "101631",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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