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1295023224 NPI number — REAL LIFE SERVICES (RLS)

NPI Number: 1295023224
Health Care Provider/Practitioner: REAL LIFE SERVICES (RLS)

Information about “1295023224” NPI (REAL LIFE SERVICES (RLS)) exists in 1295023224 in HTML format HTML  |  1295023224 in plain Text format TXT  |  1295023224 in PDF (Portable Document Format) PDF  |  1295023224 in an XML format XML  formats.

NPI Number : 1295023224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295023224",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REAL LIFE SERVICES (RLS)",
    "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 HWY 36 BYP N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GATESVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76528-9603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "254-865-8828",
    "MailingAddressFaxNumber": "254-865-8828",
    "FirstLinePracticeLocationAddress": "724 HWY 36 BYP N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GATESVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76528-9603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-865-8828",
    "PracticeLocationAddressFaxNumber": "254-865-8828",
    "EnumerationDate": "07/12/2011",
    "LastUpdateDate": "07/12/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAGEE-SALCIDO",
    "AuthorizedOfficialFirstName": "IRENE",
    "AuthorizedOfficialMiddleName": "BURTON",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN,BC",
    "AuthorizedOfficialTelephoneNumber": "254-913-1637",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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