NPI Code Detail JSON Logo

1598003055 NPI number — THE ENCLAVE HOUSE INC

NPI Number: 1598003055
Health Care Provider/Practitioner: THE ENCLAVE HOUSE INC

Information about “1598003055” NPI (THE ENCLAVE HOUSE INC) exists in 1598003055 in HTML format HTML  |  1598003055 in plain Text format TXT  |  1598003055 in PDF (Portable Document Format) PDF  |  1598003055 in an XML format XML  formats.

NPI Number : 1598003055 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598003055",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE ENCLAVE HOUSE INC",
    "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": "103 OXFORD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROYAL PALM BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33411-1535",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-201-8850",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "115 AKRON ST",
    "SecondLinePracticeLocationAddress": "UNIT B",
    "PracticeLocationAddressCityName": "LAKE WORTH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33461-4808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-201-8850",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2013",
    "LastUpdateDate": "01/17/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PUGLIESE",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "561-201-8850",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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