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1346830247 NPI number — ESSENTIAL HOME REHAB, PLLC

NPI Number: 1346830247
Health Care Provider/Practitioner: ESSENTIAL HOME REHAB, PLLC

Information about “1346830247” NPI (ESSENTIAL HOME REHAB, PLLC) exists in 1346830247 in HTML format HTML  |  1346830247 in plain Text format TXT  |  1346830247 in PDF (Portable Document Format) PDF  |  1346830247 in an XML format XML  formats.

NPI Number : 1346830247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346830247",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "TRUE CARE PHYSICAL THERAPY AND REHABILITATION, PLLC",
    "ParentOrgTIN": null,
    "OrgName": "ESSENTIAL HOME REHAB, PLLC",
    "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": "14815 W BELL RD STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SURPRISE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85374-7603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-777-1870",
    "MailingAddressFaxNumber": "623-777-1403",
    "FirstLinePracticeLocationAddress": "14815 W BELL RD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SURPRISE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85374-7603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-777-1870",
    "PracticeLocationAddressFaxNumber": "623-777-1403",
    "EnumerationDate": "01/25/2021",
    "LastUpdateDate": "01/25/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "POPP",
    "AuthorizedOfficialFirstName": "RAYMOND",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPT",
    "AuthorizedOfficialTelephoneNumber": "623-777-1870",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0700X",
          "TaxonomyName": "Hearing and Speech Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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