NPI Code Detail JSON Logo

1497608749 NPI number — HEART BRIDGE AGENCY LLC

NPI Number: 1497608749
Health Care Provider/Practitioner: HEART BRIDGE AGENCY LLC

Information about “1497608749” NPI (HEART BRIDGE AGENCY LLC) exists in 1497608749 in HTML format HTML  |  1497608749 in plain Text format TXT  |  1497608749 in PDF (Portable Document Format) PDF  |  1497608749 in an XML format XML  formats.

NPI Number : 1497608749 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497608749",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEART BRIDGE AGENCY 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": "1106 RED BIRD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOVELAND",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45140-7165",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1106 RED BIRD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45140-7165",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-817-5311",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2026",
    "LastUpdateDate": "02/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PETERSON",
    "AuthorizedOfficialFirstName": "TYRONE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "513-817-5311",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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