NPI Code Detail JSON Logo

1477375756 NPI number — AG HEALTH LLC

NPI Number: 1477375756
Health Care Provider/Practitioner: AG HEALTH LLC

Information about “1477375756” NPI (AG HEALTH LLC) exists in 1477375756 in HTML format HTML  |  1477375756 in plain Text format TXT  |  1477375756 in PDF (Portable Document Format) PDF  |  1477375756 in an XML format XML  formats.

NPI Number : 1477375756 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477375756",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AG HEALTH 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": "7617 SANDYRIDGE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTAGE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49024-5027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-894-3372",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7617 SANDYRIDGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTAGE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49024-5027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-894-3372",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2024",
    "LastUpdateDate": "12/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADATSI",
    "AuthorizedOfficialFirstName": "GEORGINA",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPH",
    "AuthorizedOfficialTelephoneNumber": "517-894-3372",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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