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1558686048 NPI number — ACE PRIVATE CARE,LLC

NPI Number: 1558686048
Health Care Provider/Practitioner: ACE PRIVATE CARE,LLC

Information about “1558686048” NPI (ACE PRIVATE CARE,LLC) exists in 1558686048 in HTML format HTML  |  1558686048 in plain Text format TXT  |  1558686048 in PDF (Portable Document Format) PDF  |  1558686048 in an XML format XML  formats.

NPI Number : 1558686048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558686048",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ACE PRIVATE CARE, LLC",
    "ParentOrgTIN": null,
    "OrgName": "ACE PRIVATE CARE,LLC",
    "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": "15565 NORTHLAND DR.",
    "SecondLineMailingAddress": "SUITE 704 W",
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48075",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-996-8107",
    "MailingAddressFaxNumber": "248-423-1722",
    "FirstLinePracticeLocationAddress": "15565 NORTHLAND DR.",
    "SecondLinePracticeLocationAddress": "SUITE 704 W",
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48075",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-996-8107",
    "PracticeLocationAddressFaxNumber": "248-423-1722",
    "EnumerationDate": "03/29/2010",
    "LastUpdateDate": "03/29/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BACALL",
    "AuthorizedOfficialFirstName": "BASIL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "517-719-5178",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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