NPI Code Detail JSON Logo

1548694482 NPI number — THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU

NPI Number: 1548694482
Health Care Provider/Practitioner: THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU

Information about “1548694482” NPI (THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU) exists in 1548694482 in HTML format HTML  |  1548694482 in plain Text format TXT  |  1548694482 in PDF (Portable Document Format) PDF  |  1548694482 in an XML format XML  formats.

NPI Number : 1548694482 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548694482",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU",
    "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": "4798 N. DIXIE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOCA RATON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33431-5055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-391-7207",
    "MailingAddressFaxNumber": "561-544-1560",
    "FirstLinePracticeLocationAddress": "4798 N. DIXIE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33431-5055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-391-7207",
    "PracticeLocationAddressFaxNumber": "561-544-1560",
    "EnumerationDate": "08/28/2013",
    "LastUpdateDate": "03/30/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARROLL",
    "AuthorizedOfficialFirstName": "CECILIA",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "561-948-1738",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "AL11947",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.