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1679236970 NPI number — MINA HOME HEALTH CARE LLC

NPI Number: 1679236970
Health Care Provider/Practitioner: MINA HOME HEALTH CARE LLC

Information about “1679236970” NPI (MINA HOME HEALTH CARE LLC) exists in 1679236970 in HTML format HTML  |  1679236970 in plain Text format TXT  |  1679236970 in PDF (Portable Document Format) PDF  |  1679236970 in an XML format XML  formats.

NPI Number : 1679236970 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679236970",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MINA HOME HEALTH CARE LLC",
    "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": "1213 ROCKRIDGE PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63122-7351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-537-4293",
    "MailingAddressFaxNumber": "314-822-8105",
    "FirstLinePracticeLocationAddress": "1451 MULLANPHY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT LOUIS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63106-3114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-443-9132",
    "PracticeLocationAddressFaxNumber": "636-222-8105",
    "EnumerationDate": "10/14/2021",
    "LastUpdateDate": "08/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADAN",
    "AuthorizedOfficialFirstName": "BASRA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS",
    "AuthorizedOfficialTelephoneNumber": "314-314-5374",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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