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1538405170 NPI number — A UNLIMITED RESOURCE

NPI Number: 1538405170
Health Care Provider/Practitioner: A UNLIMITED RESOURCE

Information about “1538405170” NPI (A UNLIMITED RESOURCE) exists in 1538405170 in HTML format HTML  |  1538405170 in plain Text format TXT  |  1538405170 in PDF (Portable Document Format) PDF  |  1538405170 in an XML format XML  formats.

NPI Number : 1538405170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538405170",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A UNLIMITED RESOURCE",
    "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": "2257 LAKE COVES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLOWER MOUND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75022-5452",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-330-4644",
    "MailingAddressFaxNumber": "972-330-4645",
    "FirstLinePracticeLocationAddress": "2257 LAKE COVES DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLOWER MOUND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75022-5452",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-330-4644",
    "PracticeLocationAddressFaxNumber": "972-330-4645",
    "EnumerationDate": "01/01/2013",
    "LastUpdateDate": "01/01/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REED",
    "AuthorizedOfficialFirstName": "CHARLOTTE",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "VRC",
    "AuthorizedOfficialTelephoneNumber": "972-330-4644",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385HR2060X",
          "TaxonomyName": "Child Intellectual and/or Developmental Disabilities Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385HR2065X",
          "TaxonomyName": "Child Physical Disabilities Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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