NPI Code Detail JSON Logo

1518401249 NPI number — BELGRAVE RECOVERY CENTER

NPI Number: 1518401249
Health Care Provider/Practitioner: BELGRAVE RECOVERY CENTER

Information about “1518401249” NPI (BELGRAVE RECOVERY CENTER) exists in 1518401249 in HTML format HTML  |  1518401249 in plain Text format TXT  |  1518401249 in PDF (Portable Document Format) PDF  |  1518401249 in an XML format XML  formats.

NPI Number : 1518401249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518401249",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BELGRAVE RECOVERY CENTER",
    "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": "202 E COMMONWEALTH AVE",
    "SecondLineMailingAddress": "# 565",
    "MailingAddressCityName": "FULLERTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92836-8600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-270-1195",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2668 BELGRAVE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTINGTON PARK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90255-2934",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-270-1195",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/14/2016",
    "LastUpdateDate": "12/14/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANCHEZ",
    "AuthorizedOfficialFirstName": "CARLOS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-270-1195",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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