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1639476013 NPI number — COMPREHENSIVE HOME CARE PROFESSIONALS,INC

NPI Number: 1639476013
Health Care Provider/Practitioner: COMPREHENSIVE HOME CARE PROFESSIONALS,INC

Information about “1639476013” NPI (COMPREHENSIVE HOME CARE PROFESSIONALS,INC) exists in 1639476013 in HTML format HTML  |  1639476013 in plain Text format TXT  |  1639476013 in PDF (Portable Document Format) PDF  |  1639476013 in an XML format XML  formats.

NPI Number : 1639476013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639476013",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPREHENSIVE HOME CARE PROFESSIONALS,INC",
    "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": "889 E FRANCIS DR",
    "SecondLineMailingAddress": "PO BOX 944",
    "MailingAddressCityName": "PALM SPRINGS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92262-2213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-861-0276",
    "MailingAddressFaxNumber": "769-668-0818",
    "FirstLinePracticeLocationAddress": "889 E FRANCIS DR",
    "SecondLinePracticeLocationAddress": "PO BOC 944",
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-2213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-861-0276",
    "PracticeLocationAddressFaxNumber": "760-668-0818",
    "EnumerationDate": "02/19/2011",
    "LastUpdateDate": "02/19/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOSEK",
    "AuthorizedOfficialFirstName": "EWA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PSYCHIATRIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.,",
    "AuthorizedOfficialTelephoneNumber": "760-861-0276",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": "C2241978",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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