NPI Code Detail JSON Logo

1578412805 NPI number — P.O.W.E.R.-POSITIVE OUTCOMES WITHIN EVERY REACH

NPI Number: 1578412805
Health Care Provider/Practitioner: P.O.W.E.R.-POSITIVE OUTCOMES WITHIN EVERY REACH

Information about “1578412805” NPI (P.O.W.E.R.-POSITIVE OUTCOMES WITHIN EVERY REACH) exists in 1578412805 in HTML format HTML  |  1578412805 in plain Text format TXT  |  1578412805 in PDF (Portable Document Format) PDF  |  1578412805 in an XML format XML  formats.

NPI Number : 1578412805 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578412805",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "P.O.W.E.R.-POSITIVE OUTCOMES WITHIN EVERY REACH",
    "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": "5304 LIVERNO DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALIDA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95368-9608",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-998-0719",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5304 LIVERNO DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALIDA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95368-9608",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-998-0719",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2026",
    "LastUpdateDate": "01/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIPHAN",
    "AuthorizedOfficialFirstName": "SICHAMPOU",
    "AuthorizedOfficialMiddleName": "KAREN",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "209-998-0719",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320600000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320700000X",
          "TaxonomyName": "Physical Disabilities Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320900000X",
          "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "322D00000X",
          "TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "323P00000X",
          "TaxonomyName": "Psychiatric Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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