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1376198465 NPI number — NEW LIFE HOME PLUS, LLC

NPI Number: 1376198465
Health Care Provider/Practitioner: NEW LIFE HOME PLUS, LLC

Information about “1376198465” NPI (NEW LIFE HOME PLUS, LLC) exists in 1376198465 in HTML format HTML  |  1376198465 in plain Text format TXT  |  1376198465 in PDF (Portable Document Format) PDF  |  1376198465 in an XML format XML  formats.

NPI Number : 1376198465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376198465",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEW LIFE HOME PLUS, 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": "PO BOX 782431",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67278-2431",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-867-2306",
    "MailingAddressFaxNumber": "316-358-7667",
    "FirstLinePracticeLocationAddress": "1214 N CHARLOTTE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67208-2657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-867-2306",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2019",
    "LastUpdateDate": "09/24/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MUNGUYA",
    "AuthorizedOfficialFirstName": "ARNOT",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OPERATOR",
    "AuthorizedOfficialTelephoneNumber": "316-617-1788",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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