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1639659147 NPI number — HAILEY'S FAMILY SERVICES,LLC

NPI Number: 1639659147
Health Care Provider/Practitioner: HAILEY'S FAMILY SERVICES,LLC

Information about “1639659147” NPI (HAILEY'S FAMILY SERVICES,LLC) exists in 1639659147 in HTML format HTML  |  1639659147 in plain Text format TXT  |  1639659147 in PDF (Portable Document Format) PDF  |  1639659147 in an XML format XML  formats.

NPI Number : 1639659147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639659147",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HAILEY'S FAMILY SERVICES, LLC",
    "ParentOrgTIN": null,
    "OrgName": "HAILEY'S FAMILY SERVICES,LLC",
    "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": "9219 EVERWOOD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33647-3298",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-949-0745",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "21754 STATE ROAD 54",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUTZ",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33549-6901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-949-0745",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/15/2018",
    "LastUpdateDate": "08/15/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NATALE",
    "AuthorizedOfficialFirstName": "DEBRA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "813-949-0745",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2355S0801X",
          "TaxonomyName": "Speech-Language Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225XP0200X",
          "TaxonomyName": "Pediatric Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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