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1508508292 NPI number — EARTH ANGELS HEALTHCARE, LLC.

NPI Number: 1508508292
Health Care Provider/Practitioner: EARTH ANGELS HEALTHCARE, LLC.

Information about “1508508292” NPI (EARTH ANGELS HEALTHCARE, LLC.) exists in 1508508292 in HTML format HTML  |  1508508292 in plain Text format TXT  |  1508508292 in PDF (Portable Document Format) PDF  |  1508508292 in an XML format XML  formats.

NPI Number : 1508508292 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508508292",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EARTH ANGELS HEALTHCARE, LLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22217 VERBENA PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPICEWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78669-6306",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-668-9561",
    "MailingAddressFaxNumber": "855-746-0001",
    "FirstLinePracticeLocationAddress": "22217 VERBENA PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPICEWOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78669-6306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-668-9561",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/12/2022",
    "LastUpdateDate": "01/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ESENOWO",
    "AuthorizedOfficialFirstName": "NSIKAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "832-890-1351",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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