NPI Code Detail JSON Logo

1346702057 NPI number — GRAND ISLAND LAKEVIEW OPERATIONS LLC

NPI Number: 1346702057
Health Care Provider/Practitioner: GRAND ISLAND LAKEVIEW OPERATIONS LLC

Information about “1346702057” NPI (GRAND ISLAND LAKEVIEW OPERATIONS LLC) exists in 1346702057 in HTML format HTML  |  1346702057 in plain Text format TXT  |  1346702057 in PDF (Portable Document Format) PDF  |  1346702057 in an XML format XML  formats.

NPI Number : 1346702057 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346702057",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GRAND ISLAND LAKEVIEW OPERATIONS 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": "1405 W US HIGHWAY 34",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND ISLAND",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68801-8823",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1405 W US HIGHWAY 34",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND ISLAND",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68801-8823",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-382-6397",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2019",
    "LastUpdateDate": "02/28/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLEISCHMANN",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CONTROLLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "516-399-3051",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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