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1487877510 NPI number — GARDEN SQUARE LLC

NPI Number: 1487877510
Health Care Provider/Practitioner: GARDEN SQUARE LLC

Information about “1487877510” NPI (GARDEN SQUARE LLC) exists in 1487877510 in HTML format HTML  |  1487877510 in plain Text format TXT  |  1487877510 in PDF (Portable Document Format) PDF  |  1487877510 in an XML format XML  formats.

NPI Number : 1487877510 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487877510",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GARDEN SQUARE 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": "1405 HICKORY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRETE",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68333-1955",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-826-2241",
    "MailingAddressFaxNumber": "402-826-2775",
    "FirstLinePracticeLocationAddress": "1405 HICKORY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRETE",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68333-1955",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-826-2241",
    "PracticeLocationAddressFaxNumber": "402-826-2775",
    "EnumerationDate": "04/10/2007",
    "LastUpdateDate": "06/24/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SASEK",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "402-826-2241",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "ALF063",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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