NPI Code Detail JSON Logo

1609751049 NPI number — DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC

NPI Number: 1609751049
Health Care Provider/Practitioner: DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC

Information about “1609751049” NPI (DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING LLC) exists in 1609751049 in HTML format HTML  |  1609751049 in plain Text format TXT  |  1609751049 in PDF (Portable Document Format) PDF  |  1609751049 in an XML format XML  formats.

NPI Number : 1609751049 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609751049",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DAYS OF OUR LIVES MENTAL HEALTH AND RESIDENTIAL HOUSING 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": "3331 E LIVINGSTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43227-1923",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-805-6175",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3331 EAST LIVINGSTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43227",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-805-6175",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2025",
    "LastUpdateDate": "08/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HICKS WATSON",
    "AuthorizedOfficialFirstName": "MARY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "614-805-6175",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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