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1538545843 NPI number — EEE ADULT DAY CARE & RESPITE CARE CENTER

NPI Number: 1538545843
Health Care Provider/Practitioner: EEE ADULT DAY CARE & RESPITE CARE CENTER

Information about “1538545843” NPI (EEE ADULT DAY CARE & RESPITE CARE CENTER) exists in 1538545843 in HTML format HTML  |  1538545843 in plain Text format TXT  |  1538545843 in PDF (Portable Document Format) PDF  |  1538545843 in an XML format XML  formats.

NPI Number : 1538545843 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538545843",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EEE ADULT DAY CARE & RESPITE CARE CENTER",
    "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": "1945 WOODSON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OVERLAND",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63114-5674",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-755-1909",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1945 WOODSON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OVERLAND",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63114-5674",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-755-1909",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2015",
    "LastUpdateDate": "08/10/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BADMUS",
    "AuthorizedOfficialFirstName": "OLUWABUNMI",
    "AuthorizedOfficialMiddleName": "LYDIA",
    "AuthorizedOfficialTitle": "VICE PRESIDENT/ADMIN",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "314-448-0664",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "302R00000X",
          "TaxonomyName": "Health Maintenance Organization",
          "LicenseNumber": "1271",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": "1271",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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