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1538360409 NPI number — LONG LIFE HOME HEALTH CARE

NPI Number: 1538360409
Health Care Provider/Practitioner: LONG LIFE HOME HEALTH CARE

Information about “1538360409” NPI (LONG LIFE HOME HEALTH CARE) exists in 1538360409 in HTML format HTML  |  1538360409 in plain Text format TXT  |  1538360409 in PDF (Portable Document Format) PDF  |  1538360409 in an XML format XML  formats.

NPI Number : 1538360409 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538360409",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LONG LIFE HOME HEALTH CARE",
    "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": "301 W BELT LINE RD",
    "SecondLineMailingAddress": "STE 103 N",
    "MailingAddressCityName": "CEDAR HILL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75104-2006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-291-7007",
    "MailingAddressFaxNumber": "972-291-7008",
    "FirstLinePracticeLocationAddress": "301 W BELT LINE RD",
    "SecondLinePracticeLocationAddress": "STE 103 N",
    "PracticeLocationAddressCityName": "CEDAR HILL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75104-2006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-291-7007",
    "PracticeLocationAddressFaxNumber": "972-291-7008",
    "EnumerationDate": "05/30/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS",
    "AuthorizedOfficialFirstName": "GREGORY",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "DON",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "972-291-7007",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": "45D09820728",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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