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1528688439 NPI number — GOLDEN HEARTS LLC

NPI Number: 1528688439
Health Care Provider/Practitioner: GOLDEN HEARTS LLC

Information about “1528688439” NPI (GOLDEN HEARTS LLC) exists in 1528688439 in HTML format HTML  |  1528688439 in plain Text format TXT  |  1528688439 in PDF (Portable Document Format) PDF  |  1528688439 in an XML format XML  formats.

NPI Number : 1528688439 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528688439",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOLDEN HEARTS 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": "PO BOX 1423",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROBERSONVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27871-1423",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-916-7318",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "325 CLIFTON ST RM 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27858-5003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-307-7751",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2020",
    "LastUpdateDate": "04/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORRIS",
    "AuthorizedOfficialFirstName": "BRIGIDA",
    "AuthorizedOfficialMiddleName": "LAWRENCE",
    "AuthorizedOfficialTitle": "CO OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCASA",
    "AuthorizedOfficialTelephoneNumber": "252-916-7318",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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