NPI Code Detail JSON Logo

1679323323 NPI number — SERENITY WOODS , LLC

NPI Number: 1679323323
Health Care Provider/Practitioner: SERENITY WOODS , LLC

Information about “1679323323” NPI (SERENITY WOODS , LLC) exists in 1679323323 in HTML format HTML  |  1679323323 in plain Text format TXT  |  1679323323 in PDF (Portable Document Format) PDF  |  1679323323 in an XML format XML  formats.

NPI Number : 1679323323 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679323323",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SERENITY WOODS , 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": "218 MAIN ST # 308",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KIRKLAND",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98033-6108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-778-9199",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14413 SALAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDMONDS",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98026-3654",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-741-1224",
    "PracticeLocationAddressFaxNumber": "425-741-1243",
    "EnumerationDate": "03/25/2024",
    "LastUpdateDate": "03/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WALLACE",
    "AuthorizedOfficialFirstName": "IAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NAR",
    "AuthorizedOfficialTelephoneNumber": "206-778-9199",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "311ZA0620X",
        "TaxonomyName": "Adult Care Home Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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