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1629585963 NPI number — ADVANCE HOME CARE SOLUTIONS

NPI Number: 1629585963
Health Care Provider/Practitioner: ADVANCE HOME CARE SOLUTIONS

Information about “1629585963” NPI (ADVANCE HOME CARE SOLUTIONS) exists in 1629585963 in HTML format HTML  |  1629585963 in plain Text format TXT  |  1629585963 in PDF (Portable Document Format) PDF  |  1629585963 in an XML format XML  formats.

NPI Number : 1629585963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629585963",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCE HOME CARE SOLUTIONS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "327 COLLEGE ST STE 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95695-3481",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-436-6953",
    "MailingAddressFaxNumber": "530-419-2603",
    "FirstLinePracticeLocationAddress": "327 COLLEGE ST STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95695-3481",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-436-6953",
    "PracticeLocationAddressFaxNumber": "530-419-2603",
    "EnumerationDate": "01/09/2018",
    "LastUpdateDate": "01/05/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ODUSOLA",
    "AuthorizedOfficialFirstName": "JIMMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "916-436-6953",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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