NPI Code Detail JSON Logo

1407191257 NPI number — LITCHFIELD HOMES LLC

NPI Number: 1407191257
Health Care Provider/Practitioner: LITCHFIELD HOMES LLC

Information about “1407191257” NPI (LITCHFIELD HOMES LLC) exists in 1407191257 in HTML format HTML  |  1407191257 in plain Text format TXT  |  1407191257 in PDF (Portable Document Format) PDF  |  1407191257 in an XML format XML  formats.

NPI Number : 1407191257 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407191257",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LITCHFIELD HOMES 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": "4238 VILLAGE SQUARE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STONE MOUNTAIN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30083-4270",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-248-7945",
    "MailingAddressFaxNumber": "770-679-0617",
    "FirstLinePracticeLocationAddress": "4925 BRIDLE POINT PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNELLVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30039-3343",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-248-7945",
    "PracticeLocationAddressFaxNumber": "770-679-0617",
    "EnumerationDate": "12/05/2012",
    "LastUpdateDate": "12/05/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BACCHUS",
    "AuthorizedOfficialFirstName": "COLLEEN",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "OWNER/CEO",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-468-6469",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3104A0630X",
        "TaxonomyName": "Assisted Living Facility (Behavioral Disturbances)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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