NPI Code Detail JSON Logo

1619723186 NPI number — ANGELS HEART HOME CARE SERVICES

NPI Number: 1619723186
Health Care Provider/Practitioner: ANGELS HEART HOME CARE SERVICES

Information about “1619723186” NPI (ANGELS HEART HOME CARE SERVICES) exists in 1619723186 in HTML format HTML  |  1619723186 in plain Text format TXT  |  1619723186 in PDF (Portable Document Format) PDF  |  1619723186 in an XML format XML  formats.

NPI Number : 1619723186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619723186",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGELS HEART HOME CARE SERVICES",
    "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": "952 WILLIAM DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN LORENZO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94580-1555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-976-0969",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2603 CAMINO RAMON STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN RAMON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94583-9137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-976-0969",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/25/2024",
    "LastUpdateDate": "04/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIBREA",
    "AuthorizedOfficialFirstName": "PINKY",
    "AuthorizedOfficialMiddleName": "G",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, CEN",
    "AuthorizedOfficialTelephoneNumber": "888-976-0969",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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