NPI Code Detail JSON Logo

1457218836 NPI number — SHIM ADULT DAY SERVICES, LLC

NPI Number: 1457218836
Health Care Provider/Practitioner: SHIM ADULT DAY SERVICES, LLC

Information about “1457218836” NPI (SHIM ADULT DAY SERVICES, LLC) exists in 1457218836 in HTML format HTML  |  1457218836 in plain Text format TXT  |  1457218836 in PDF (Portable Document Format) PDF  |  1457218836 in an XML format XML  formats.

NPI Number : 1457218836 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457218836",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHIM ADULT DAY SERVICES, 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": "10 ONEIL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TROY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12180-5443",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-977-2950",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10 ONEIL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TROY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12180-5443",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-977-2950",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/07/2026",
    "LastUpdateDate": "01/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHIM",
    "AuthorizedOfficialFirstName": "NATIA",
    "AuthorizedOfficialMiddleName": "V",
    "AuthorizedOfficialTitle": "OWNER AND OPERATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "518-977-2950",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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