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1568074813 NPI number — CSSGACA, LLC

NPI Number: 1568074813
Health Care Provider/Practitioner: CSSGACA, LLC

Information about “1568074813” NPI (CSSGACA, LLC) exists in 1568074813 in HTML format HTML  |  1568074813 in plain Text format TXT  |  1568074813 in PDF (Portable Document Format) PDF  |  1568074813 in an XML format XML  formats.

NPI Number : 1568074813 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568074813",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CSSGACA, LLC",
    "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": "201 E PARK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78212-4657",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-226-6393",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "311 E MAIN ST STE 305",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GALESBURG",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61401-4867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-228-4222",
    "PracticeLocationAddressFaxNumber": "866-557-9176",
    "EnumerationDate": "08/18/2020",
    "LastUpdateDate": "08/18/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KLAES",
    "AuthorizedOfficialFirstName": "IAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "210-226-6393",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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