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1619272077 NPI number — TRUELIFE HOME HEALTH CARE,INC.

NPI Number: 1619272077
Health Care Provider/Practitioner: TRUELIFE HOME HEALTH CARE,INC.

Information about “1619272077” NPI (TRUELIFE HOME HEALTH CARE,INC.) exists in 1619272077 in HTML format HTML  |  1619272077 in plain Text format TXT  |  1619272077 in PDF (Portable Document Format) PDF  |  1619272077 in an XML format XML  formats.

NPI Number : 1619272077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619272077",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRUELIFE HOME HEALTH CARE,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": "23 W MAIN ST STE 2W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENWOOD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60425-1680",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-469-4492",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "23 W MAIN ST STE 2W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENWOOD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60425-1680",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-469-4492",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/17/2011",
    "LastUpdateDate": "01/17/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BASSEY",
    "AuthorizedOfficialFirstName": "JOYCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "R.N",
    "AuthorizedOfficialTelephoneNumber": "708-469-4492",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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