NPI Code Detail JSON Logo

1295114098 NPI number — MCDANIEL HOMES, LLC

NPI Number: 1295114098
Health Care Provider/Practitioner: MCDANIEL HOMES, LLC

Information about “1295114098” NPI (MCDANIEL HOMES, LLC) exists in 1295114098 in HTML format HTML  |  1295114098 in plain Text format TXT  |  1295114098 in PDF (Portable Document Format) PDF  |  1295114098 in an XML format XML  formats.

NPI Number : 1295114098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295114098",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MCDANIEL HOMES, LLC",
    "ParentOrgTIN": null,
    "OrgName": "MCDANIEL HOMES, 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": "PO BOX1636",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROXBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-599-1073",
    "MailingAddressFaxNumber": "336-599-8186",
    "FirstLinePracticeLocationAddress": "4694 CHUBB LAKE ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROXBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27574",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-599-1073",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/26/2015",
    "LastUpdateDate": "05/26/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS-MCDANIEL",
    "AuthorizedOfficialFirstName": "PEGGY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "339-599-1073",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QD1600X",
          "TaxonomyName": "Developmental Disabilities Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.