NPI Code Detail JSON Logo

1326615600 NPI number — GRACE ASSISTED LIVING FACILITY LLC

NPI Number: 1326615600
Health Care Provider/Practitioner: GRACE ASSISTED LIVING FACILITY LLC

Information about “1326615600” NPI (GRACE ASSISTED LIVING FACILITY LLC) exists in 1326615600 in HTML format HTML  |  1326615600 in plain Text format TXT  |  1326615600 in PDF (Portable Document Format) PDF  |  1326615600 in an XML format XML  formats.

NPI Number : 1326615600 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326615600",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GRACE ASSISTED LIVING FACILITY LLC",
    "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": "6746 MASSACHUSETTS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE WORTH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33462-3836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-966-9535",
    "MailingAddressFaxNumber": "561-966-9535",
    "FirstLinePracticeLocationAddress": "6746 MASSACHUSETTS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE WORTH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33462-3836",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-966-9535",
    "PracticeLocationAddressFaxNumber": "561-966-9535",
    "EnumerationDate": "06/07/2021",
    "LastUpdateDate": "06/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HENRY",
    "AuthorizedOfficialFirstName": "KETTELIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSN, APRN",
    "AuthorizedOfficialTelephoneNumber": "561-254-2352",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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