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1376363341 NPI number — ANGELS CARE ASSISTED LIVING, LLC

NPI Number: 1376363341
Health Care Provider/Practitioner: ANGELS CARE ASSISTED LIVING, LLC

Information about “1376363341” NPI (ANGELS CARE ASSISTED LIVING, LLC) exists in 1376363341 in HTML format HTML  |  1376363341 in plain Text format TXT  |  1376363341 in PDF (Portable Document Format) PDF  |  1376363341 in an XML format XML  formats.

NPI Number : 1376363341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376363341",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGELS CARE ASSISTED LIVING, 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": "703 JIM BLAKE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28540-7705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-967-0374",
    "MailingAddressFaxNumber": "910-469-1275",
    "FirstLinePracticeLocationAddress": "703 JIM BLAKE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28540-7705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-967-0374",
    "PracticeLocationAddressFaxNumber": "910-469-1275",
    "EnumerationDate": "10/15/2024",
    "LastUpdateDate": "07/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAUGHTRY",
    "AuthorizedOfficialFirstName": "KILEY",
    "AuthorizedOfficialMiddleName": "DONITA",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "910-967-0374",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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