NPI Code Detail JSON Logo

1487315966 NPI number — JOURNEY ABA NEVADA LLC

NPI Number: 1487315966
Health Care Provider/Practitioner: JOURNEY ABA NEVADA LLC

Information about “1487315966” NPI (JOURNEY ABA NEVADA LLC) exists in 1487315966 in HTML format HTML  |  1487315966 in plain Text format TXT  |  1487315966 in PDF (Portable Document Format) PDF  |  1487315966 in an XML format XML  formats.

NPI Number : 1487315966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487315966",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JOURNEY ABA NEVADA 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": "10019 REISTERSTOWN RD FL 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OWINGS MILLS",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21117-3902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-966-2764",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "871 CORONADO CENTER DR STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENDERSON",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89052-3977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-966-2764",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/06/2022",
    "LastUpdateDate": "01/06/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EDWARDS",
    "AuthorizedOfficialFirstName": "TERRI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP REVENUE STRATEGY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "817-966-2764",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QX0100X",
          "TaxonomyName": "Occupational Medicine Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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