NPI Code Detail JSON Logo

1417596149 NPI number — SEED OF LIFE SENIOR CARE LLC

NPI Number: 1417596149
Health Care Provider/Practitioner: SEED OF LIFE SENIOR CARE LLC

Information about “1417596149” NPI (SEED OF LIFE SENIOR CARE LLC) exists in 1417596149 in HTML format HTML  |  1417596149 in plain Text format TXT  |  1417596149 in PDF (Portable Document Format) PDF  |  1417596149 in an XML format XML  formats.

NPI Number : 1417596149 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417596149",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SEED OF LIFE SENIOR CARE 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": "7709 YALTA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20155-1983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-232-1424",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7709 YALTA WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20155-1983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-232-1424",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/28/2019",
    "LastUpdateDate": "12/28/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GREEN",
    "AuthorizedOfficialFirstName": "CHRISTINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPN",
    "AuthorizedOfficialTelephoneNumber": "571-282-8107",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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