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1336163815 NPI number — EMBRACING HOSPICECARE, LLC

NPI Number: 1336163815
Health Care Provider/Practitioner: EMBRACING HOSPICECARE, LLC

Information about “1336163815” NPI (EMBRACING HOSPICECARE, LLC) exists in 1336163815 in HTML format HTML  |  1336163815 in plain Text format TXT  |  1336163815 in PDF (Portable Document Format) PDF  |  1336163815 in an XML format XML  formats.

NPI Number : 1336163815 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336163815",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMBRACING HOSPICECARE, 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": "50 N LAURA ST",
    "SecondLineMailingAddress": "STE 1800",
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32202-3664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-493-6745",
    "MailingAddressFaxNumber": "904-262-4804",
    "FirstLinePracticeLocationAddress": "5775 PEACHTREE DUNWOODY RD NE",
    "SecondLinePracticeLocationAddress": "STE D 580",
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-1556",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-659-0110",
    "PracticeLocationAddressFaxNumber": "770-454-7730",
    "EnumerationDate": "07/27/2006",
    "LastUpdateDate": "02/05/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FOGLE",
    "AuthorizedOfficialFirstName": "RICH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "904-493-6745",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251G00000X",
        "TaxonomyName": "Community Based Hospice Care Agency",
        "LicenseNumber": "044162H",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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