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1598963548 NPI number — CEE-BREEZE PERSONAL CARE SERVICES, INC.

NPI Number: 1598963548
Health Care Provider/Practitioner: CEE-BREEZE PERSONAL CARE SERVICES, INC.

Information about “1598963548” NPI (CEE-BREEZE PERSONAL CARE SERVICES, INC.) exists in 1598963548 in HTML format HTML  |  1598963548 in plain Text format TXT  |  1598963548 in PDF (Portable Document Format) PDF  |  1598963548 in an XML format XML  formats.

NPI Number : 1598963548 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598963548",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CEE-BREEZE PERSONAL CARE SERVICES, 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": "PO BOX 1140",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRANKLIN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23851-1140",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-338-7747",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "410 ELM AVE SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24016-3920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-343-2200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/10/2007",
    "LastUpdateDate": "08/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAKER",
    "AuthorizedOfficialFirstName": "CLARENCE",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "757-338-7747",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": "94703001",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": "94002029",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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