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1568381341 NPI number — COMFORTCAREAWSSISTEDLIVINGLLC

NPI Number: 1568381341
Health Care Provider/Practitioner: COMFORTCAREAWSSISTEDLIVINGLLC

Information about “1568381341” NPI (COMFORTCAREAWSSISTEDLIVINGLLC) exists in 1568381341 in HTML format HTML  |  1568381341 in plain Text format TXT  |  1568381341 in PDF (Portable Document Format) PDF  |  1568381341 in an XML format XML  formats.

NPI Number : 1568381341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568381341",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMFORTCAREAWSSISTEDLIVINGLLC",
    "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": "1300 SHERWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KALAMAZOO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49048-1835",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-550-6582",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "665 E XY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VICKSBURG",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49097-8747",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-550-6582",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/14/2026",
    "LastUpdateDate": "07/14/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRADFORD",
    "AuthorizedOfficialFirstName": "SHAKIYLA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BRADFORD",
    "AuthorizedOfficialTelephoneNumber": "269-550-6582",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311ZA0620X",
          "TaxonomyName": "Adult Care Home Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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