NPI Code Detail JSON Logo

1538835319 NPI number — HEBRON HOUSE, INC.

NPI Number: 1538835319
Health Care Provider/Practitioner: HEBRON HOUSE, INC.

Information about “1538835319” NPI (HEBRON HOUSE, INC.) exists in 1538835319 in HTML format HTML  |  1538835319 in plain Text format TXT  |  1538835319 in PDF (Portable Document Format) PDF  |  1538835319 in an XML format XML  formats.

NPI Number : 1538835319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538835319",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEBRON HOUSE, INC.",
    "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": "2300 GARRISON BLVD STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21216-2308",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-233-1990",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2300 GARRISON BLVD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21216-2308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-233-1990",
    "PracticeLocationAddressFaxNumber": "410-233-1991",
    "EnumerationDate": "08/20/2021",
    "LastUpdateDate": "08/20/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KUFORIJI",
    "AuthorizedOfficialFirstName": "MATANMI",
    "AuthorizedOfficialMiddleName": "OLUSESAN",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "410-233-1990",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0400X",
        "TaxonomyName": "Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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