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1386560217 NPI number — DJIO HOLDINGS INCORPORATED DBA FIRSTLIGHT HOME CARE OF CAVE CREEK, AZ

NPI Number: 1386560217
Health Care Provider/Practitioner: DJIO HOLDINGS INCORPORATED DBA FIRSTLIGHT HOME CARE OF CAVE CREEK, AZ

Information about “1386560217” NPI (DJIO HOLDINGS INCORPORATED DBA FIRSTLIGHT HOME CARE OF CAVE CREEK, AZ) exists in 1386560217 in HTML format HTML  |  1386560217 in plain Text format TXT  |  1386560217 in PDF (Portable Document Format) PDF  |  1386560217 in an XML format XML  formats.

NPI Number : 1386560217 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386560217",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DJIO HOLDINGS INCORPORATED DBA FIRSTLIGHT HOME CARE OF CAVE CREEK, AZ",
    "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": "1961 W BRAMBLE BERRY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85085-8119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1961 W BRAMBLE BERRY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85085-8119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-638-2555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/25/2026",
    "LastUpdateDate": "06/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DJIOFACK",
    "AuthorizedOfficialFirstName": "INNOCENT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-751-8024",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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